US7384420B2 - Vessel sealer and divider - Google Patents
Vessel sealer and divider Download PDFInfo
- Publication number
- US7384420B2 US7384420B2 US10/848,773 US84877304A US7384420B2 US 7384420 B2 US7384420 B2 US 7384420B2 US 84877304 A US84877304 A US 84877304A US 7384420 B2 US7384420 B2 US 7384420B2
- Authority
- US
- United States
- Prior art keywords
- tissue
- jaw members
- assembly
- shaft
- handle
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related, expires
Links
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00345—Vascular system
- A61B2018/00404—Blood vessels other than those in or around the heart
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00601—Cutting
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B2018/1405—Electrodes having a specific shape
- A61B2018/1412—Blade
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B2018/1452—Probes having pivoting end effectors, e.g. forceps including means for cutting
- A61B2018/1455—Probes having pivoting end effectors, e.g. forceps including means for cutting having a moving blade for cutting tissue grasped by the jaws
Definitions
- the present disclosure relates to an electrosurgical instrument and method for performing endoscopic surgical procedures and more particularly, the present disclosure relates to an open or endoscopic bipolar electrosurgical forceps and method for sealing and/or cutting tissue.
- a hemostat or forceps is a simple plier-like tool which uses mechanical action between its jaws to constrict vessels and is commonly used in open surgical procedures to grasp, dissect and/or clamp tissue. Electrosurgical forceps utilize both mechanical clamping action and electrical energy to effect hemostasis by heating the tissue and blood vessels to coagulate, cauterize and/or seal tissue.
- endoscopic instruments are inserted into the patient through a cannula, or port, that has been made with a trocar.
- Typical sizes for cannulas range from three millimeters to twelve millimeters. Smaller cannulas are usually preferred, which, as can be appreciated, ultimately presents a design challenge to instrument manufacturers who must find ways to make surgical instruments that fit through the cannulas.
- Certain endoscopic surgical procedures require cutting blood vessels or vascular tissue.
- surgeons can have difficulty suturing vessels or performing other traditional methods of controlling bleeding, e.g., clamping and/or tying-off transected blood vessels.
- Blood vessels in the range below two millimeters in diameter, can often be closed using standard electrosurgical techniques.
- a surgeon can either cauterize, coagulate/desiccate and/or simply reduce or slow bleeding, by controlling the intensity, frequency and duration of the electrosurgical energy applied through the jaw members to the tissue.
- the electrode of each jaw member is charged to a different electric potential such that when the jaw members grasp tissue, electrical energy can be selectively transferred through the tissue.
- the pressure applied to the tissue tends to become less relevant whereas the gap distance between the electrically conductive surfaces becomes more significant for effective sealing. In other words, the chances of the two electrically conductive surfaces touching during activation increases as the vessels become smaller.
- Electrosurgical methods may be able to seal larger vessels using an appropriate electrosurgical power curve, coupled with an instrument capable of applying a large closure force to the vessel walls. It is thought that the process of coagulating small vessels is fundamentally different than electrosurgical vessel sealing.
- coagulation is defined as a process of desiccating tissue wherein the tissue cells are ruptured and dried.
- Vessel sealing is defined as the process of liquefying the collagen in the tissue so that it reforms into a fused mass. Thus, coagulation of small vessels is sufficient to permanently close them. Larger vessels need to be sealed to assure permanent closure.
- Increasing the closure forces between electrodes may have other undesirable effects, e.g., it may cause the opposing electrodes to come into close contact with one another which may result in a short circuit and a small closure force may cause pre-mature movement of the issue during compression and prior to activation.
- U.S. Pat. No. 5,674,220 to Fox et al. discloses a transparent vessel sealing instrument which includes a longitudinally reciprocating knife which severs the tissue once sealed.
- the instrument includes a plurality of openings which enable direct visualization of the tissue during the sealing and severing process. This direct visualization allows a user to visually and manually regulate the closure force and gap distance between jaw members to reduce and/or limit certain undesirable visual effects known to occur when sealing vessels, thermal spread, charring, etc.
- U.S. Pat. No. 5,702,390 to Austin et al. discloses a vessel sealing instrument which includes a triangularly-shaped electrode which is rotatable from a first position to seal tissue to a second position to cut tissue. Again, the user must rely on direct visualization and expertise to control the various effects of sealing and cutting tissue.
- the present disclosure relates to a bipolar electrosurgical forceps for clamping, sealing and dividing tissue. More particularly, the present disclosure relates to a bipolar electrosurgical forceps which effects consistency in the overall clamping pressure exerted on tissue between opposing jaw members, regulates the gap distances between opposing jaws members, reduces the chances of short circuiting the opposing jaw members during activation, includes non-conductive stop members which assist in manipulating, gripping and holding the tissue prior to and during activation and division of the tissue, and provides a uniquely-designed electrical cable path through the body of the instrument and to the opposing jaw members to reduce the chances of activation irregularities during the manipulation, sealing and dividing of tissue.
- the presently-disclosed forceps relates to an electrosurgical instrument for performing sealing and/or dividing tissue and includes a housing having a shaft attached thereto which defines a longitudinal axis and a first jaw member which is movable relative to a second jaw member.
- the first jaw member is attached to the shaft and moves from a first open position wherein the jaw members are disposed in spaced relation relative to one another to a second closed position wherein the jaw members cooperate to grasp tissue therebetween.
- the instrument also includes a drive rod assembly which imparts movement of the jaw members between the first and second positions, a rotating assembly which rotates the jaw members about the longitudinal axis and a knife assembly which separates the tissue grasped between the jaw members.
- a four-bar handle assembly is also included which includes a handle and a cam-like piston which cooperate to impart a uniform closure pressure against the tissue grasped between the jaw members.
- a pair of electrical leads connect the jaw members to a source of electrical energy and include slack loops disposed in the rotating assembly which permit rotation of the jaw members about the longitudinal axis.
- first and second jaw members are movable relative to one another in a pivotable fashion and are rotatable substantially 360 degrees about the longitudinal axis.
- the handle and the cam member of the four-bar mechanical linkage cooperate with a spring to create the uniform closure pressure against tissue grasped between the jaw members.
- the handle is lockable within the housing to selectively lock the jaw members relative to one another.
- the knife assembly is variable from a locked configuration to an unlocked configuration upon movement of the four-bar mechanical linkage.
- the handle may includes a flange which is reciprocated into a channel having predefined internal dimensions disposed within the housing. The flange is dimensioned to cooperate with the predefined internal dimensions of the channel to selectively lock the jaw members relative to one another and unlock the knife assembly.
- one of the jaw members includes a longitudinal channel at least partially defined therethrough which permits reciprocation of the knife assembly along an ideal cutting plane to separate tissue.
- the rotating assembly includes a mechanical interface, e.g., detent, which cooperates with a corresponding mechanical interface, e.g., notch, disposed on the housing to prevent overrotation of the jaw members.
- FIG. 1A is a left, perspective view of an endoscopic bipolar forceps showing a housing, a shaft and an end effector assembly according to the present disclosure
- FIG. 1B is a left, perspective of an open bipolar forceps according to the present disclosure
- FIG. 2 is a top view of the forceps of FIG. 1 ;
- FIG. 3 is a right, side view of the forceps of FIG. 1 ;
- FIG. 4 is a right, perspective view of the forceps of FIG. 1 showing the rotation of the end effector assembly about a longitudinal axis “A”;
- FIG. 5 is a front view of the forceps of FIG. 1 ;
- FIG. 6 is an enlarged view of the indicated area of detail of FIG. 5 showing an enhanced view of the end effector assembly detailing a pair of opposing jaw members;
- FIG. 7 is an enlarged, left perspective view of the indicated area of detail of FIG. 1 showing another enhanced view of the end effector assembly;
- FIG. 8 is an enlarged, right side view of the indicated area of detail of FIG. 3 with a pair of cam slots of the end effector assembly shown in phantom;
- FIG. 9 is a slightly-enlarged, cross-section of the forceps of FIG. 3 showing the internal working components of the housing;
- FIG. 10 is an enlarged, cross-section of the indicated area of detail of FIG. 9 showing the initial position of a knife assembly disposed within the end effector assembly;
- FIG. 11 is an enlarged, left perspective view showing the housing without a cover plate and the internal working components of the forceps disposed therein;
- FIG. 12 is an exploded, perspective view of the end effector assembly, the knife assembly and the shaft;
- FIG. 13 is an exploded, perspective view of the housing and the internal working components thereof with the attachment of the shaft and end effector assembly to the housing shown in broken line illustration;
- FIG. 14 is greatly-enlarged, top perspective view of the end effector assembly with parts separated showing a feed path for an electrical cable through the top jaw member;
- FIG. 15 is a longitudinal, cross-section of the indicated area of detail of FIG. 9 ;
- FIG. 16 is an enlarged, top perspective view of the end effector assembly showing the feed path for the electrical cable through the opposing jaw members and the proximal attachment of the knife assembly to a longitudinally-reciprocating knife tube disposed within the shaft;
- FIG. 17 is an enlarged, top perspective view of the end effector assembly showing the feed path for the electrical cable along a longitudinally-disposed channel defined within the outer periphery of the shaft;
- FIG. 18A is a greatly-enlarged, side perspective view of the housing without the cover plate showing the feed path for the electrical cable through a rotating assembly adjacent to a distal end of the housing;
- FIG. 18B is a greatly-enlarged, side perspective view of the housing without the cover plate showing the feed path for the electrical cable through a rotating assembly with the shaft mounted within the housing;
- FIG. 19 is a greatly-enlarged, rear view of the rotating assembly showing an internally-disposed stop member
- FIG. 20 is a perspective view of the forceps of the present disclosure shown in position to grasp and seal a tubular vessel or bundle through a cannula;
- FIG. 21 is a slightly-enlarged, cross-section of the internal, cooperative movements of a four-bar handle assembly disposed within the housing which effects movement of the jaw members relative to one another;
- FIG. 22 is a greatly-enlarged, cross-section showing the initial movement of a flange upon activation of the four-bar handle assembly shown in phantom illustration;
- FIG. 23 is a greatly-enlarged, side view showing the resulting compression movement of a coil spring in reaction to the movement of the four-bar handle assembly;
- FIG. 24 is a greatly-enlarged, side view showing the proximal movement of a cam-like drive pin of the end effector assembly as a result of the proximal compression of the coil spring of FIG. 23 which, in turn, moves the opposing jaw members into a closed configuration;
- FIG. 25 is a greatly-enlarged, cross-section showing the knife assembly poised for activation within a cannula
- FIG. 26 is a top perspective view showing the opposing jaw members in closed configuration with a tubular vessel compressed therebetween;
- FIG. 27 is an enlarged perspective view of a sealed site of a tubular vessel showing a preferred cuffing line “B-B” for dividing the tubular vessel after sealing;
- FIG. 28 is a longitudinal cross-section of the sealed site taken along line 28 - 28 of FIG. 27 ;
- FIG. 29 is a side view of the housing without a cover plate showing the longitudinal reciprocation of the knife tube upon activation of a trigger assembly
- FIG. 30 is a greatly-enlarged, cross-section of the distal end of the instrument showing longitudinal reciprocation of the knife assembly upon activation of the trigger assembly;
- FIG. 31 is a longitudinal cross-section of the tubular vessel after reciprocation of the knife assembly through the sealing site along preferred cutting line “B-B” of FIG. 28 ;
- FIG. 32 is a greatly-enlarged, side view showing movement of the flange upon re-initiation of the handle assembly along a predefined exit path which, in turn, opens the opposing jaw members and releases the tubular vessel.
- a bipolar forceps 10 for use with various surgical procedures and generally includes a housing 20 , a handle assembly 30 , a rotating assembly 80 , a trigger assembly 70 and an end effector assembly 100 which mutually cooperate to grasp, seal and divide tubular vessels and vascular tissue 420 ( FIG. 20 ).
- an open forceps 10 ′ is also contemplated for use in connection with traditional open surgical procedures and is shown by way of example in FIG. 1A .
- the endoscopic version is discussed in detail, however, it is contemplated that open forceps 10 ′ also includes the same or similar operating components and features as described below.
- forceps 10 includes a shaft 12 which has a distal end 14 dimensioned to mechanically engage the end effector assembly 100 and a proximal end 16 which mechanically engages the housing 20 .
- shaft 12 is bifurcated at the distal end 14 thereof to form ends 14 a and 14 b which are dimensioned to receive the end effector assembly 100 as best seen in FIGS. 7 and 12 .
- the proximal end 16 of shaft 12 includes notches 17 a (See FIGS. 23 and 29 ) and 17 b (See FIGS. 11 , 12 and 13 ) which are dimensioned to mechanically engage corresponding detents 83 a ( FIG. 18A) and 83 b ( FIG.
- proximal as is traditional, will refer to the end of the forceps 10 which is closer to the user, while the term “distal” will refer to the end which is further from the user.
- forceps 10 also includes an electrical interface or plug 300 which connects the forceps 10 to a source of electrosurgical energy, e.g., a generator (not shown).
- Plug 300 includes a pair of prong members 302 a and 302 b which are dimensioned to mechanically and electrically connect the forceps 10 to the source of electrosurgical energy.
- An electrical cable 310 extends from the plug 300 to a sleeve 99 which securely connects the cable 310 to the forceps 10 .
- cable 310 is internally divided into cable lead 310 a and 310 b which each transmit electrosurgical energy through their respective feed paths through the forceps 10 to the end effector assembly 100 as explained in more detail below.
- Handle assembly 30 includes a fixed handle 50 and a movable handle 40 .
- Fixed handle 50 is integrally associated with housing 20 and handle 40 is movable relative to fixed handle 50 as explained in more detail below with respect to the operation of the forceps 10 .
- Rotating assembly 80 is preferably attached to a distal end 303 ( FIG. 18A ) of housing 20 and is rotatable approximately 180 degrees in either direction about a longitudinal axis “A”.
- housing 20 is formed from two (2) housing halves 20 a and 20 b which each include a plurality of interfaces 307 a , 307 b and 307 c ( FIG. 13 ) which are dimensioned to mechanically align and engage one another to form housing 20 and enclose the internal working components of forceps 10 .
- fixed handle 50 which, as mentioned above is integrally associated with housing 20 , takes shape upon the assembly of the housing halves 20 a and 20 b.
- housing halves 20 a and 20 b may be assembled together in any fashion known in the art.
- alignment pins, snap-like interfaces, tongue and groove interfaces, locking tabs, adhesive ports, etc. may all be utilized either alone or in combination for assembly purposes.
- rotating assembly 80 includes two halves 80 a and 80 b which, when assembled, enclose and engage the proximal end 16 of shaft 12 to permit selective rotation of the end effector assembly 100 as needed.
- Half 80 a includes a pair of detents 89 a ( FIG. 13 ) which are dimensioned to engage a pair of corresponding sockets 89 b (shown in phantom in FIG. 13 ) disposed within half 80 b .
- Movable handle 40 and trigger assembly 70 are preferably of unitary construction and are operatively connected to the housing 20 and the fixed handle 50 during the assembly process.
- end effector assembly 100 is attached to the distal end 14 of shaft 12 and includes a pair of opposing jaw members 110 and 120 .
- Movable handle 40 of handle assembly 30 is ultimately connected to a drive rod 32 which, together, mechanically cooperate to impart movement of the jaw members 110 and 120 from an open position wherein the jaw members 110 and 120 are disposed in spaced relation relative to one another, to a clamping or closed position wherein the jaw members 110 and 120 cooperate to grasp tissue 420 ( FIG. 20 ) therebetween. This is explained in more detail below with respect to FIGS. 9-11 and 20 - 29 .
- the forceps 10 may be designed such that it is fully or partially disposable depending upon a particular purpose or to achieve a particular result.
- end effector assembly 100 may be selectively and releasably engageable with the distal end 14 of the shaft 12 and/or the proximal end 16 of shaft 12 may be selectively and releasably engageable with the housing 20 and the handle assembly 30 .
- the forceps 10 would be considered “partially disposable” or “reposable”, i.e., a new or different end effector assembly 100 (or end effector assembly 100 and shaft 12 ) selectively replaces the old end effector assembly 100 as needed.
- movable handle 40 includes an aperture 42 defined therethrough which enables a user to grasp and move the handle 40 relative to the fixed handle 50 .
- Handle 40 also includes an ergonomically-enhanced gripping element 45 disposed along the inner peripheral edge of aperture 42 which is designed to facilitate gripping of the movable handle 40 during activation.
- gripping element 45 may include one or more protuberances, scallops and/or ribs 43 a , 43 b and 43 c , respectively, to facilitate gripping of handle 40 .
- movable handle 40 is selectively moveable about a pivot 69 from a first position relative to fixed handle 50 to a second position in closer proximity to the fixed handle 50 which, as explained below, imparts movement of the jaw members 110 and 120 relative to one another.
- housing 20 encloses a drive assembly 21 which cooperates with the movable handle 40 to impart movement of the jaw members 110 and 120 from an open position wherein the jaw members 110 and 120 are disposed in spaced relation relative to one another, to a clamping or closed position wherein the jaw members 110 and 120 cooperate to grasp tissue therebetween.
- the handle assembly 30 can generally be characterized as a four-bar mechanical linkage composed of the following elements: movable handle 40 , a link 65 , a cam-like link 36 and a base link embodied by fixed handle 50 and a pair of pivot points 37 and 67 b .
- Movement of the handle 40 activates the four-bar linkage which, in turn, actuates the drive assembly 21 for imparting movement of the opposing jaw members 110 and 120 relative to one another to grasp tissue therebetween. It is envisioned that employing a four-bar mechanical linkage will enable the user to gain a significant mechanical advantage when compressing the jaw members 110 and 120 against the tissue 420 as explained in further detail below with respect the operating parameters of the drive assembly 21 . Although shown as a four-bar mechanical linkage, the present disclosure contemplates other linkages to effect relative motion of the jaw members 110 and 120 as is known in the art.
- fixed handle 50 includes an channel 54 defined therein which is dimensioned to receive a flange 92 which extends proximally from movable handle 40 .
- flange 92 includes a fixed end 90 which is affixed to movable handle 40 and a t-shaped free end 93 which is dimensioned for facile reception within channel 54 of handle 50 . It is envisioned that flange 92 may be dimensioned to allow a user to selectively, progressively and/or incrementally move jaw members 110 and 120 relative to one another from the open to closed positions.
- flange 92 may include a ratchet-like interface which lockingly engages the movable handle 40 and, therefore, jaw members 110 and 120 at selective, incremental positions relative to one another depending upon a particular purpose.
- Other mechanisms may also be employed to control and/or limit the movement of handle 40 relative to handle 50 (and jaw members 110 and 120 ) such as, e.g., hydraulic, semi-hydraulic, linear actuator(s), gas-assisted mechanisms and/or gearing systems.
- housing halves 20 a and 20 b of housing 20 when assembled, form an internal cavity 52 which predefines the channel 54 within fixed handle 50 such that an entrance pathway 53 and an exit pathway 58 are formed for reciprocation of the t-shaped flange end 93 therein.
- two generally triangular-shaped members 57 a and 57 b are positioned in close abutment relative to one another to define a rail or track 59 therebetween.
- the t-shaped end 93 rides along track 59 between the two triangular members 57 a and 57 b according to the particular dimensions of the triangularly-shaped members 57 a and 57 b , which, as can be appreciated, predetermines part of the overall pivoting motion of handle 40 relative to fixed handle 50 .
- handle 40 moves in a generally arcuate fashion towards fixed handle 50 about pivot 69 which causes link 65 to rotate proximally about pivots 67 a and 67 b which, in turn, cause cam-like link 36 to rotate about pivots 37 and 69 in a generally proximal direction. Movement of the cam-like link 36 imparts movement to the drive assembly 21 as explained in more detail below. Moreover, proximal rotation of the link 65 about pivots 67 a and 67 b also causes a distal end 63 of link 65 to release, i.e., “unlock”, the trigger assembly 70 for selective actuation. This feature is explained in detail with reference to FIGS. 21-29 and the operation of the knife assembly 200 .
- FIG. 12 shows an the exploded view of the shaft 12 and end effector assembly 100 .
- shaft 12 includes distal and proximal ends 14 and 16 , respectively.
- the distal end 14 is bifurcated and includes ends 14 a and 14 b which, together, define a cavity 18 for receiving the end effector assembly 100 .
- the proximal end 16 includes a pair of notches 17 a ( FIG. 29) and 17 b ( FIG. 11 ) which are dimensioned to engage corresponding detents 83 a and 83 b ( FIG. 13 ) of the rotating assembly 80 .
- actuation of the rotation assembly 80 rotates the shaft 12 which, in turn, rotates the end effector assembly 100 to manipulate and grasp tissue 420 .
- Shaft 12 also includes a pair of longitudinally-oriented channels 19 a ( FIG. 15) and 19 b ( FIG. 12 ) which are each dimensioned to carry an electrosurgical cable lead 310 a and 310 b , respectively, therein for ultimate connection to each jaw member 120 and 110 , respectively, as explained in more detail with reference to FIGS. 14-17 below.
- Shaft 12 also includes a pair of longitudinally oriented slots 197 a and 197 b disposed on ends 14 a and 14 b , respectively. Slots 197 a and 197 b are preferable dimensioned to allow longitudinal reciprocation of a cam pin 170 therein which, as explained below with reference to FIGS. 23 and 24 , causes movement of the opposing jaw member 110 and 120 from the open to closed positions.
- Shaft 12 also includes a pair of sockets 169 a and 169 b disposed at distal ends 14 a and 14 b which are dimensioned to receive a corresponding pivot pin 160 .
- pivot pin 160 secures jaws 110 and 120 to the shaft 12 between bifurcated distal ends 14 a and 14 b and mounts the jaw members 110 and 120 such that longitudinal reciprocation of the cam pin 170 rotates jaw members 110 and 120 about pivot pin 160 from the open to closed positions.
- Knife tube 34 includes a rim 35 located at a proximal end thereof and a pair of opposing notches 230 a and 230 b ( FIGS. 25 and 30 ) located at a distal end 229 thereof. As best shown in FIG.
- rim 35 is dimensioned to engage a corresponding sleeve 78 disposed at a distal end of the trigger assembly 70 such that distal movement of the sleeve 78 translates the knife tube 34 which, in turn, actuates the knife assembly 200 .
- a seal 193 may be mounted atop the knife tube 34 and positioned between the knife tube 34 and the shaft 12 . It is envisioned that the seal 193 may be dimensioned to facilitate reciprocation of the knife tube 34 within the shaft 12 and/or to protect the other, more sensitive, internal operating components of the forceps from undesirable fluid inundation during surgery. Seal 193 may also be employed to control/regulate pneumo-peritoneal pressure leakage through forceps 10 during surgery. Seal 193 preferably includes a pair of opposing bushings 195 a and 195 b which assure consistent and accurate reciprocation of the knife tube 34 within shaft 12 (See FIG. 15 ).
- Notches 230 a and 230 b are preferably dimensioned to engage a corresponding key-like interface 211 of the knife assembly 200 which includes a pair of opposing detents 212 a and 212 b and a pair of opposing steps 214 a and 214 b .
- each detent and step arrangement e.g., 212 a and 214 a , respectively, securely engages a corresponding notch, e.g., 230 a , such that the distal end of the step 214 a abuts the distal end 229 of the knife tube 34 . It is envisioned that engaging the knife tube 34 to the knife assembly 200 in this manner will assure consistent and accurate distal translation of the knife tube 34 through the tissue 420 .
- the knife tube 34 and knife assembly 200 are preferably assembled to operate independently from the operation of the drive assembly 21 .
- knife assembly 200 is dependent on the drive assembly 21 for activation purposes, i.e., the activation/movement of the drive assembly 21 (via handle assembly 30 and the internal working components thereof) “unlocks” the knife assembly 200 for selective, separation of the tissue.
- the drive assembly 21 consists of both the drive rod 32 and the compression mechanism 24 which includes a number of cooperative elements which are described below with reference to FIG. 13 . It is envisioned that arranging the drive assembly 21 in this fashion will enable facile, selective engagement of the drive rod 32 within the compression mechanism 24 for assembly purposes.
- the housing 20 may include a release mechanism (not shown) which enables selectively replacement of the drive rod 32 for disposal purposes.
- the forceps will be considered “partially disposable” or “reposable”, i.e., the shaft 12 , end effector assembly 100 and knife assembly 200 are disposable and/or replaceable whereas the housing 20 and handle assembly 30 are re-usable.
- drive rod 32 includes a pair of chamfered or beveled edges 31 a and 31 b at a distal end thereof which are preferably dimensioned to allow facile reciprocation of the drive rod 32 through a knife carrier or guide 220 which forms a part of the knife assembly 200 .
- a pin slot 39 is disposed at the distal tip of the drive rod 32 and is dimensioned to house the cam pin 170 such that longitudinal reciprocation of the drive rod 32 within the knife tube 34 translates the cam pin 170 , which, in turn, rotates the jaw members 110 and 120 about pivot pin 160 .
- the cam pin 170 rides within slots 172 and 174 of the jaw members 110 and 120 , respectively, which causes the jaw members 110 and 120 to rotate from the open to closed positions about the tissue 420 .
- the proximal end of the drive rod 32 includes a tab 33 which is preferably dimensioned to engage a corresponding compression sleeve 28 disposed within the compression mechanism 24 .
- Proximal movement of the sleeve 28 (as explained below with respect to FIGS. 21-24 ) reciprocates (i.e., pulls) the drive rod 32 which, in turn, pivots the jaw members 110 and 120 from the open to closed positions.
- Drive rod 32 also includes a donut-like spacer or o-ring 95 which is dimensioned to maintain pneumo-peritoneal pressure during endoscopic procedures. It is also envisioned that o-ring 95 may also prevent the inundation of surgical fluids which may prove detrimental to the internal operating components of the forceps 10 .
- O-ring 95 is made also be made from a material having a low coefficient of friction to facilitate uniform and accurate reciprocation of the drive rod 32 within the knife tube 34 .
- Knife assembly 200 is disposed between opposing jaw members 110 and 120 of the end effector assembly 100 .
- the knife assembly 200 and the end effector assembly 100 are independently operable, i.e., the trigger assembly 70 actuates the knife assembly 200 and the handle assembly 30 actuates the end effector assembly 100 .
- Knife assembly 200 includes a bifurcated knife bar or rod 210 having two forks 210 a and 210 b and a knife carrier or guide 220 .
- Knife forks 210 a and 210 b include the above-described key-like interfaces 211 (composed of steps 214 a , 214 b and detents 212 a , 212 b , respectively) disposed at the proximal end thereof for engaging the knife tube 34 (as described above) and a common distal end 206 which carries a blade 205 thereon for severing tissue 420 .
- each fork 210 a and 210 b includes a taper 213 a and 213 b , respectively, which converge to form common distal end 206 .
- the tapers 213 a and 213 b facilitate reciprocation of the knife blade 205 through the end effector assembly 100 as described in more detail below and as best illustrated in FIG. 30 .
- Each fork 210 a and 210 b also includes a tapered shoulder portion 221 a and 221 b disposed along the outer periphery thereof which is dimensioned to engage a corresponding slot 223 a and 223 b , respectively, disposed in the knife carrier or guide 220 (See FIG. 16 ). It is envisioned that this shoulder portion 221 a , 221 b and slot 223 a , 223 b arrangement may be designed to restrict and/or regulate the overall distal movement of the blade 205 after activation.
- Each fork 210 a and 210 b also includes an arcuately-shaped notch 215 a and 215 b , respectively disposed along the inward edge thereof which is dimensioned to facilitate insertion of a roller or bushing 216 disposed between the jaw members 110 and 120 during assembly.
- knife assembly 200 also includes a knife carrier or guide 220 which includes opposing spring tabs 222 a and 222 b at a proximal end thereof and upper and lower knife guides 224 a and 224 b , respectively, at the distal end thereof.
- the inner facing surface of each spring tab, e.g., 222 b is preferably dimensioned to matingly engage a corresponding chamfered edge, e.g., 31 b of the drive rod 32 ( FIG. 16 ) and the outer facing surface is preferably dimensioned for friction-fit engagement with the inner periphery of the shaft 12 .
- a knife carrier or guide 220 which includes opposing spring tabs 222 a and 222 b at a proximal end thereof and upper and lower knife guides 224 a and 224 b , respectively, at the distal end thereof.
- the inner facing surface of each spring tab, e.g., 222 b is preferably dimensioned to matingly engage a corresponding cham
- knife carrier 220 also includes a drive rod channel 225 defined therethrough which is dimensioned to allow reciprocation of the drive rod 32 during the opening and closing of the jaw members 110 and 120 .
- Knife guide 220 also includes rests 226 a and 226 b which extend laterally therefrom which abut the proximal ends 132 , 134 of the jaw members 110 and 120 when disposed in the closed position.
- Knife guides 224 a and 224 b preferably include slots 223 a and 223 b , respectively, located therein which guide the knife forks 210 a and 210 b therealong during activation to provide consistent and accurate reciprocation of the knife blade 205 through the tissue 420 . It is envisioned that slots 223 a and 223 b also restrict undesirable lateral movements of the knife assembly 200 during activation.
- the knife carrier 220 is positioned at a point slightly beyond the shoulder portions 221 a and 221 b when assembled.
- the knife assembly 200 also includes a roller or bushing 216 which is dimensioned to mate with the inner peripheral edge of each fork 210 a and 210 b such that, during activation, the forks 210 a and 210 b glide over the roller or bushing 216 to assure facile and accurate reciprocation of the knife assembly 200 through the tissue 420 .
- Bushing 216 is also dimensioned to seat between opposing jaw members 110 and 120 and is preferably secured therebetween by pivot pin 160 . As mentioned above, the arcuately-shaped notches 215 a and 215 b facilitate insertion of the bushing 216 during assembly.
- the end effector assembly 100 includes opposing jaw members 110 and 120 which are seated within cavity 18 defined between bifurcated ends 14 a and 14 b of shaft 12 .
- Jaw members 110 and 120 are generally symmetrical and include similar component features which cooperate to permit facile rotation about pivot pin 160 to effect the sealing and dividing of tissue 420 .
- jaw member 110 and the operative features associated therewith are describe in detail herein but as can be appreciated, many of these features apply to jaw member 120 as well.
- jaw member 110 includes a pivot flange 166 which has an arcuately-shaped inner surface 167 which is dimensioned to allow rotation of jaw member 110 about bushing 216 and pivot pin 160 upon reciprocation of drive rod 32 as described above.
- Pivot flange 166 also includes a cam slot 172 which is dimensioned to engage cam pin 170 such that longitudinal movement of the drive rod 32 causes the cam pin 170 to ride along cam slot 172 .
- cam slot 172 may be dimensioned to allow different rotational paths depending upon a particular purpose or to achieve a particular result.
- commonly assigned, co-pending U.S. application Ser. No. 09/177,950 which is hereby incorporated by reference in its entirety herein, describes a two-stage cam slot arrangement which, as can be appreciated, provides a unique rotational path for the jaw members about the pivot point.
- Pivot flange 166 also includes a recess 165 which is preferably dimensioned to secure one free end of the bushing 216 between jaw members 110 and 120 .
- the inner periphery of recess 165 is preferably dimensioned to receive pivot pin 160 therethrough to secure the jaw member 110 to the shaft 12 .
- Jaw member 120 includes a similar recess 175 ( FIG. 14 ) which secures the opposite end of bushing 216 and jaw member 120 to shaft 12 .
- Jaw member 110 also includes a jaw housing 116 , an insulative substrate or insulator 114 and an electrically conducive surface 112 .
- Jaw housing 116 includes a groove (not shown—See groove 179 of jaw member 120 ) defined therein which is dimensioned to engage a ridge-like interface 161 disposed along the outer periphery of insulator 114 .
- Insulator 114 is preferably dimensioned to securely engage the electrically conductive sealing surface 112 . This may be accomplished by stamping, by overmolding, by overmolding a stamped electrically conductive sealing plate and/or by overmolding a metal injection molded seal plate.
- All of these manufacturing techniques produce an electrode having an electrically conductive surface 112 which is substantially surrounded by an insulating substrate 114 .
- the insulator 114 , electrically conductive sealing surface 112 and the outer, non-conductive jaw housing 116 are preferably dimensioned to limit and/or reduce many of the known undesirable effects related to tissue sealing, e.g., flashover, thermal spread and stray current dissipation.
- the electrically conductive sealing surface 112 may also include a pinch trim 119 ( FIG. 25 ) which facilitates secure engagement of the electrically conductive surface 112 to the insulating substrate 114 and also simplifies the overall manufacturing process. It is envisioned that the electrically conductive sealing surface 112 may also include an outer peripheral edge which has a radius and the insulator 114 meets the electrically conductive sealing surface 112 along an adjoining edge which is generally tangential to the radius and/or meets along the radius. Preferably, at the interface, the electrically conductive surface 112 is raised relative to the insulator 114 .
- PCT/US01/11412 entitled “ELECTROSURGICAL INSTRUMENT WHICH REDUCES COLLATERAL DAMAGE TO ADJACENT TISSUE” by Johnson et al. and concurrently-filed, co-pending, commonly assigned Application Serial No. PCT/US01/11411 entitled “ELECTROSURGICAL INSTRUMENT WHICH IS DESIGNED TO REDUCE THE INCIDENCE OF FLASHOVER” by Johnson et al.
- Insulator 114 also includes an inwardly facing finger 162 which abuts pivot flange 166 and is designed to restrict/reduce proximal tissue spread and/or isolate the electrically conductive sealing surface 112 from the remaining end effector assembly 100 during activation.
- the electrically conductive surface 112 and the insulator 114 when assembled, form a longitudinally-oriented channel 168 a , 168 b defined therethrough for reciprocation of the knife blade 205 . More particularly, and as best illustrated in FIG. 14 , insulator 114 includes a first channel 168 b which aligns with a second channel 168 a on electrically conductive sealing surface 112 to form the complete knife channel.
- the knife channel 168 a , 168 b facilitates longitudinal reciprocation of the knife blade 205 along a preferred cutting plane “B-B” to effectively and accurately separate the tissue 420 along the formed tissue seal 425 (See FIGS. 27 , 28 and 31 .
- jaw member 120 include similar elements which include: a pivot flange 176 which has an arcuately-shaped inner surface 177 , a cam slot 174 , and a recess 175 ; a jaw housing 126 which includes a groove 179 which is dimensioned to engage a ridge-like interface 171 disposed along the outer periphery of an insulator 124 ; the insulator 124 which includes an inwardly facing finger 172 which abuts pivot flange 176 ; and an electrically conducive sealing surface 122 which is dimensioned to securely engage the insulator 124 .
- the electrically conductive surface 122 and the insulator 124 when assembled, form a longitudinally-oriented channel 178 a , 178 b defined therethrough for reciprocation of the knife blade 205 .
- each jaw member e.g., 110
- each jaw member includes a uniquely-designed electrosurgical cable path disposed therethrough which transmits electrosurgical energy to the electrically conductive sealing surfaces 112 , 122 .
- jaw member 110 includes a cable guide 181 a disposed atop pivot flange 166 which directs cable lead 310 a towards an aperture 188 disposed through jaw housing 116 .
- Aperture 188 directs cable lead 310 a towards electrically conductive sealing surface 112 through a window 182 disposed within insulator 114 .
- a second cable guide 181 b secures cable lead 310 a along the predefined cable path through window 182 and directs a terminal end 310 a ′ of the cable lead 310 a into crimp-like electrical connector 183 disposed on an opposite side of the electrically conductive sealing surface 112 .
- cable lead 310 a is held loosely but securely along the cable path to permit rotation of the jaw member 110 about pivot 169 .
- Jaw member 120 includes a similar cable path disposed therein and therethrough which includes similarly dimensioned cable guides, apertures and electrical connectors which are not shown in the accompanying illustrations.
- FIGS. 15-17 also show the presently disclosed feed path for both electrosurgical cable leads 310 a and 310 b along the outer periphery of the shaft 12 and through each jaw member 110 and 120 . More particularly, FIG. 15 shows a cross section of the electrosurgical cable leads 310 a and 310 b disposed within channels 19 a and 19 b , respectively, along shaft 12 . FIGS. 16 and 17 show the feed path of the cable leads 310 a and 310 b from the opposite channels 19 a and 19 b of the shaft 12 through the pivot flanges 166 and 176 of the jaw members 110 and 120 , respectively.
- this unique cable feed path for cable leads 310 a and 310 b from the shaft 12 to the jaw members 110 and 120 not only electrically isolates each jaw member 100 and 120 but also allows the jaw members 110 and 120 to pivot about pivot pin 160 without unduly straining or possibly tangling the cable leads 310 a and 310 b .
- the crimp-like electrical connector 183 (and the corresponding connector in jaw member 120 ) greatly facilitates the manufacturing and assembly process and assures a consistent and tight electrical connection for the transfer of energy through the tissue 420 . As best shown in FIG.
- the outer surface of shaft 12 may be covered by heat shrink tubing 500 or the like which protects the cable leads 310 a and 310 b from undue wear and tear and secures cable leads 310 a and 310 b within their respective channels 19 a and 19 b.
- FIGS. 18A and 18B show the feed path of the cable leads 310 a and 310 b through the rotating assembly 80 which, again, allows the user added flexibility during the use of the forceps 10 due to the uniqueness of the feed path. More particularly, FIG. 18A shows the feed path of cable lead 310 a through half 80 a of the rotating assembly 80 and FIG. 18B shows the path of cable leads 310 a and 310 b as the cable leads 310 a and 310 b feed through the instrument housing 20 a , through half 80 a of the rotating assembly 80 and to the channels 19 a and 19 b of the shaft 12 .
- FIG. 18A shows the feed path of cable lead 310 a through half 80 a of the rotating assembly 80
- FIG. 18B shows the path of cable leads 310 a and 310 b as the cable leads 310 a and 310 b feed through the instrument housing 20 a , through half 80 a of the rotating assembly 80 and to the channels 19 a and 19 b of the shaft 12 .
- cable lead 310 a (shown broken in FIG. 19 ) is positioned in a similar fashion within half 80 b of rotating assembly 80 .
- each cable lead e.g., 310 a
- each cable lead is looped through each half 80 a of the rotating assembly 80 to form slack-loops 321 a and 321 b which traverse either side of longitudinal axis “A”.
- Slack-loop 321 a redirects cable lead 310 a across one side of axis “A” and slack-loop 321 b returns cable lead 310 a across axis “A”. It is envisioned that feeding the cable leads 310 a and 310 b through the rotating assembly 80 in this fashion allows the user to rotate the shaft 12 and the end effector assembly 100 without unduly straining or tangling the cable leads 310 a and 310 b which may prove detrimental to effective sealing. Preferably, this loop-like cable feed path allows the user to rotate the end effector assembly 100 about 180 degrees in either direction without straining the cable leads 310 a and 310 b . The presently disclosed cable lead feed path is envisioned to rotate the cable leads 310 a and 310 b approximately 178 degrees in either direction.
- FIG. 19 shows an internal view of half 80 a of the rotating assembly 80 as viewed along axis “A” to highlight the internal features thereof. More particularly, at least one stop 88 is preferably positioned within each rotating half 80 a and 80 b which operates to control the overall rotational movement of the rotating assembly 80 to about 180 degree in either direction.
- the stop member 88 is dimensioned to interface with a corresponding notch 309 c disposed along the periphery of outer flange 309 to prevent unintended over-rotation of the rotating assembly 80 which may unduly strain one or both of the cable leads 310 a and 310 b.
- FIG. 18B shows the feed path of the electrical cable leads 310 a and 310 b from the housing 20 a , through the rotating assembly 80 and to the shaft 12 .
- the cable leads 310 a and 310 b are directed through each part of the forceps 10 via a series of cable guide members 311 a - 311 g disposed at various positions through the housing 20 and rotating assembly 80 .
- a series of mechanical interfaces e.g., 309 a , 309 b ( FIG. 13) and 323 a , 323 b ( FIG. 13 ) may also be dimensioned to contribute in guiding cables 310 a and 310 b through the housing 20 and rotating assembly 80 .
- FIG. 13 shows the exploded view of the housing 20 , rotating assembly 80 , trigger assembly 70 and handle assembly 30 , it is envisioned that all of these various component parts along with the shaft 12 and the end effector assembly 100 are assembled during the manufacturing process to form a partially and/or fully disposable forceps 10 .
- the shaft 12 and/or end effector assembly 100 may be disposable and, therefore, selectively/releasably engagable with the housing 20 and rotating assembly 80 to form a partially disposable forceps 10 and/or the entire forceps 10 may be disposable after use.
- Housing 20 is preferably formed from two housing halves 20 a and 20 b which engage one another via a series of mechanical interfaces 307 a , 307 b , 307 c and 308 a , 308 b , 308 c respectively, to form an internal cavity 300 for housing the herein described internal working components of the forceps 10 .
- housing halves 20 a and 20 are generally symmetrical and, unless otherwise noted, a component described with respect to housing half 20 a will have a similar component which forms a part of housing half 20 b.
- Housing half 20 a includes proximal and distal ends 301 a and 303 a , respectively.
- Proximal end 301 a is preferably dimensioned to receive an electrical sleeve 99 which secures the electrosurgical cable 310 ( FIG. 1 ) within the housing 20 .
- paired cable 310 splits into two electrosurgical cable leads 310 a and 310 b which are subsequently fed through the housing 20 to ultimately transmit different electrical potentials to the opposing jaw members 110 and 120 .
- various cable guides 311 a - 311 g are positioned throughout the housing 20 and the rotating assembly 80 to direct the cable leads 310 a and 310 b to the channels 19 a and 19 b disposed along the outer periphery of the shaft 12 .
- the distal end 303 a is generally arcuate in shape such that, when assembled, distal ends 303 a and 303 b form a collar 303 ( FIG. 13 ) which extends distally from the housing 20 .
- Each distal end 303 a , 303 b of the collar 303 includes an outer flange 309 a , 309 b and a recess 323 a , 323 b which cooperate to engage corresponding mechanical shoulders 84 a , 84 b ( FIG. 29 ) and flanges 87 a , 87 b , respectively, disposed within the rotating assembly 80 .
- the interlocking engagement of the flanges 309 a , 309 b with the shoulders 84 a , 84 b and the recesses 323 a , 323 b with the flanges 87 a , 87 b are dimensioned to allow free rotation about of the rotating assembly 80 about collar 303 when assembled.
- the stop member(s) 88 and the notch(es) mechanically cooperate to limit rotational movement of the rotating assembly 80 to avoid straining cable leads 310 a and 310 b.
- Each distal end 303 a , 303 b of collar 303 also includes an inner cavity 317 a and 317 b ( FIGS. 9 and 21 ), respectively, defined therein which is dimensioned to permit free rotation of the shaft 12 , knife tube 34 and cable leads 310 a and 310 b housed therein.
- a plurality of detents 89 a located within rotating assembly 80 engage a corresponding plurality of sockets 89 b ( FIG. 13 ) disposed within rotating half 80 b to poise the rotating assembly 80 in rotational relationship atop collar 303 .
- Housing half 20 a also includes a plurality of hub-like pivot mounts 329 a , 331 a and 333 a which as explained in more detail below with respect to the operation of the instrument, cooperate with opposite hub-like pivot mounts (shown in phantom in FIG. 13 ) disposed on housing half 20 b to engage the free ends of pivot pins 37 , 67 b and 77 , respectively, which are associated with the different operating components described below.
- each of these mounts 329 a , 331 a and 333 a provide a fixed point of rotation for each pivoting element, namely, cam link 36 , handle link 65 and trigger assembly 70 , respectively.
- fixed handle 50 which takes shape upon the assembly of housing 20 includes a scallop-like outer surface 51 and an internal cavity 52 defined therein. As mentioned above with respect to the discussion of FIG. 11 , these elements and the other internal elements of the fixed handle 50 cooperate with movable handle 40 to activates the four-bar mechanical linkage which, in turn, actuates the drive assembly 21 for imparting movement of the opposing jaw members 110 and 120 relative to one another to grasp tissue 420 therebetween.
- the handle assembly 30 which includes the above-mentioned fixed handle 50 and movable handle 40 also includes the cam link 36 which is generally triangular in shape.
- the cam link includes an upper piston 38 , a fixed pivot 37 and a handle pivot 69 .
- Cam link is assembled within the internal cavity 300 of housing 20 between housing halves 20 a and 20 b . More particularly, fixed pivot 37 is rotatingly mounted within fixed mounts 329 a and 329 b between opposing housing halves 20 a and 20 b and the handle pivot 69 is rotatingly mounted within the bifurcated end of handle 40 through apertures 68 a and 68 b .
- Cam piston 38 is poised within a longitudinal channel 25 c defined through the drive assembly 70 (explained in further detail below with respect to the discussion of the drive assembly 70 ) in abutting relationship with a compression tab 25 such that movement of the handle 40 rotates piston 38 proximally against coil spring 22 .
- Link 65 is also associated with the handle assembly 30 and forms an integral part of the four-bar mechanical linkage.
- Link 65 includes a distal end 63 and two pivot pins 67 a and 67 b .
- Pivot pin 67 a engages apertures 68 a and 68 b disposed within the movable handle 40 and pivot 67 b engages fixed mounts 331 a and 331 b between housing halves 20 a and 20 b such that movement of the handle 40 towards fixed handle 50 pivots link 65 about pivots 67 a and 67 b .
- distal end 63 acts as a lockout for the trigger assembly 70 .
- Movable handle 40 includes a flange 92 which is preferably mounted to the movable handle 40 by pins 46 a and 46 b which engage apertures 41 a and 41 b disposed within handle 40 and apertures 91 a and 91 b disposed within flange 92 , respectively. Other methods of engagement are also contemplated, snap-lock, spring tab, etc.
- Flange 92 also includes a t-shaped distal end 93 which, as mentioned above with respect to FIG. 11 , rides within a predefined channel 54 disposed within fixed handle 50 . Additional features with respect to the t-shaped end 93 are explained below in the detailed discussion of the operational features of the forceps 10 .
- a drive assembly 21 is preferably positioned within the housing 20 between housing halves 20 a and 20 b .
- the drive assembly 21 includes the previously described drive rod 32 and the compression mechanism 24 .
- Compression mechanism 24 includes a compression sleeve 27 which is telescopically and/or slidingly disposed within a spring mount 26 .
- the distal end 28 of the compression sleeve 27 is preferably C-shaped and dimensioned to engage the tab 33 disposed at the proximal end of drive rod 32 such that longitudinal movement of the compression sleeve 27 actuates the drive rod 32 .
- the proximal end of the compression sleeve 27 is dimensioned to engage a barbell-shaped compression tab 25 which is disposed within a longitudinal slot 25 s of the spring mount 26 .
- the compression sleeve 27 also includes a longitudinal slot or channel 25 c which is longitudinally aligned with slot 25 s and is dimensioned to receive the cam piston 38 of the cam link 36 described above.
- the proximal end of spring mount 26 includes a circular flange 23 which is dimensioned to bias the compression spring 22 once the compression mechanism 24 is assembled and seated within housing 20 ( FIG. 11 ).
- the distal end of spring mount 26 includes a flange 25 f which restricts distal movement of the tab 25 to within the slot 25 s of the spring mount 26 and biases the opposite end the spring 22 .
- spring 22 is poised for compression atop spring mount 26 upon actuation of the handle assembly 30 . More particularly, movement of the cam piston 38 within slot 25 c (via movement of handle assembly 30 ) moves the tab 25 atop slot 25 s and reciprocates the compression sleeve 27 within the spring mount 26 to compress the spring 22 . Proximal movement of the compression sleeve 27 imparts proximal movement to the drive rod 32 which closes jaw members 110 and 120 about tissue 420 ( FIG. 26 ). Compression of the spring 22 may be viewed through one or more windows 340 disposed within the housing halves, e.g., 20 b.
- FIG. 13 also shows the trigger assembly 70 which activates the knife assembly 200 as described above with respect to FIG. 12 .
- trigger assembly 70 includes an actuator 73 having a cuff-like distal end 78 which is dimensioned to receive the proximal rim 35 of the knife tube 34 .
- a drive pin 74 extends laterally from the proximal end of actuator 73 .
- Trigger assembly 70 also includes an ergonomically enhanced finger tab 72 having opposing wing-like flanges 72 a and 72 b which are envisioned to facilitate gripping and firing of the trigger assembly during surgery.
- the compression sleeve 27 is dimensioned to slide internally within actuator 73 when the forceps 10 is assembled.
- the actuator 73 when activated, can slide distally along the outer periphery of compression sleeve 27 to actuate the knife assembly 200 as described above with respect to FIG. 12 .
- the drive pin 74 is dimensioned to ride along a pair of guide rails 71 a and 71 b disposed within a bifurcated tail portion of finger tab 72 which includes ends 76 a and 76 b , respectively.
- a hinge or pivot pin 77 mounts the finger tab 72 between housing halves 20 a and 20 within mounts 333 a and 333 b .
- a torsion spring 75 may also be incorporated within the trigger assembly 70 to facilitate progressive and consistent longitudinal reciprocation of the actuator 73 and knife tube 34 to assure reliable separation along the tissue seal 425 ( FIGS. 27 and 28 ).
- the trigger assembly 70 is configured in a proximal, “pre-loaded” configuration prior to activation. This assures accurate and intentional reciprocation of the knife assembly 200 .
- the “pre-load” configuration of the torsion spring 75 acts as an automatic recoil of the knife assembly 200 to permit repeated reciprocation through the tissue as needed.
- a plurality of gripping elements 71 is preferably incorporated atop the finger tab 72 and wing flanges 72 a and 72 b to enhance gripping of the finger tab 72 .
- the trigger assembly 70 is initially prevented from firing due to the unique configuration of the distal end 63 of the link 65 which abuts against the finger tab 72 and “locks” the trigger assembly 70 prior to actuation of the handle assembly 30 .
- the opposing jaw members 110 and 120 may be rotated and partially opened and closed without unlocking the trigger assembly 70 which, as can be appreciated, allows the user to grip and manipulate the tissue 420 without premature activation of the knife assembly 200 .
- FIGS. 21-29 The operating features and relative movements of the internal working components of the forceps 10 are shown by phantom representation and directional arrows and are best illustrated in FIGS. 21-29 .
- a predefined channel 54 is formed within the cavity 52 of fixed handle 50 .
- the channel 54 includes entrance pathway 53 and an exit pathway 58 for reciprocation of the flange 92 and the t-shaped end 93 therein.
- the two generally triangular-shaped members 57 a and 57 b are positioned in close abutment relative to one another and define track 59 disposed therebetween.
- FIGS. 21 and 22 show the initial actuation of handle 40 towards fixed handle 50 which causes the free end 93 of flange 92 to move generally proximally and upwardly along entrance pathway 53 .
- the t-shaped end 93 rides along track 59 between the two triangular members 57 a and 57 b.
- channel 197 may be dimensioned slightly larger than needed to take into account any dimensional inconsistencies with respect to manufacturing tolerances of the various operating components of the end effector assembly 100 ( FIG. 24 )
- the utilization of a four-bar linkage will enable the user to selectively compress the coil spring 22 a specific distance which, in turn, imparts a specific load on the drive rod 32 .
- the drive rod 32 load is converted to a torque about the jaw pivot 160 by way of cam pin 170 .
- a specific closure force can be transmitted to the opposing jaw members 110 and 120 .
- window 340 disposed in the housing 20 may include graduations, visual markings or other indicia which provide feedback to the user during compression of the handle assembly 30 .
- the user can thus selectively regulate the progressive closure forces applied to the tissue 420 to accomplish a particular purpose or achieve a particular result.
- the window 340 may include a specific visual indicator which relates to the proximal-most position of flange 93 prior to engagement within the catch basin 62 .
- the jaw members 110 and 120 may be opened, closed and rotated to manipulate tissue 420 until sealing is desired without unlocking the trigger assembly 70 .
- This enables the user to position and re-position the forceps 10 prior to activation and sealing. More particularly, as illustrated in FIG. 4 , the end effector assembly 100 is rotatable about longitudinal axis “A” through rotation of the rotating assembly 80 .
- the unique feed path of the cable leads 310 a and 310 b through the rotating assembly 80 , along shaft 12 and, ultimately, through the jaw members 110 and 120 enable the user to rotate the end effector assembly 100 about 180 degrees in both the clockwise and counterclockwise direction without tangling or causing undue strain on the cable leads 310 a and 310 b . As can be appreciated, this facilitates the grasping and manipulation of tissue 420 .
- a series of stop members 150 a - 150 c are preferably employed on the inner facing surfaces of the electrically conductive sealing surfaces 112 and 122 to facilitate gripping and manipulation of tissue and to define a gap “G” ( FIG. 24 ) between opposing jaw members 110 and 120 during sealing and cutting of tissue.
- a detailed discussion of these and other envisioned stop members 150 a - 150 c as well as various manufacturing and assembling processes for attaching and/or affixing the stop members 150 a - 150 c to the electrically conductive sealing surfaces 112 , 122 are described in commonly-assigned, co-pending U.S. Application Serial No. PCT/US01/11413 entitled “VESSEL SEALER AND DIVIDER WITH NON-CONDUCTIVE STOP MEMBERS” by Dycus et al. which is hereby incorporated by reference in its entirety herein.
- handle 40 may be compressed fully such that the t-shaped end 93 of flange 92 clears a predefined rail edge 61 located atop the triangular-shaped members 57 a and 57 b . Once end 93 clears edge 61 , distal movement of the handle 40 and flange 92 , i.e., release, is redirected by edge 61 into a catch basin 62 located within the exit pathway 58 . More particularly, upon a slight reduction in the closing pressure of handle 40 against handle 50 , the handle 40 returns slightly distally towards entrance pathway 53 but is re-directed towards exit pathway 58 .
- end effector assembly 100 and/or the jaw members 110 and 120 may be dimensioned to off-load some of the excessive clamping forces to prevent mechanical failure of certain internal operating elements of the end effector 100 .
- the combination of the four-bar mechanical advantage along with the compressive force associated with the compression spring 22 facilitate and assure consistent, uniform and accurate closure pressure about the tissue 420 .
- the user can either cauterize, coagulate/desiccate, seal and/or simply reduce or slow bleeding.
- two mechanical factors play an important role in determining the resulting thickness of the sealed tissue and effectiveness of the seal 425 , i.e., the pressure applied between opposing jaw members 110 and 120 and the gap distance “G” between the opposing sealing surfaces 112 , 122 of the jaw members 110 and 120 during the sealing process.
- thickness of the resulting tissue seal 425 cannot be adequately controlled by force alone. In other words, too much force and the two jaw members 110 and 120 would touch and possibly short resulting in little energy traveling through the tissue 420 thus resulting in a bad tissue seal 425 . Too little force and the seal 425 would be too thick.
- Applying the correct force is also important for other reasons: to oppose the walls of the vessel; to reduce the tissue impedance to a low enough value that allows enough current through the tissue 420 ; and to overcome the forces of expansion during tissue heating in addition to contributing towards creating the required end tissue thickness which is an indication of a good seal 425 .
- the electrically conductive sealing surfaces 112 , 122 of the jaw members 110 , 120 are relatively flat to avoid current concentrations at sharp edges and to avoid arcing between high points.
- jaw members 110 and 120 are preferably manufactured to resist bending.
- the jaw members 110 and 120 may be tapered along the width thereof which is advantageous for two reasons: 1) the taper will apply constant pressure for a constant tissue thickness at parallel; 2) the thicker proximal portion of the jaw members 110 and 120 will resist bending due to the reaction force of the tissue 420 .
- At least one jaw member, e.g., 110 may include a stop member, e.g., 150 a , which limits the movement of the two opposing jaw members 110 and 120 relative to one another ( FIGS. 6 and 7 ).
- the stop member, e.g., 150 a extends from the sealing surface 112 , 122 a predetermined distance according to the specific material properties (e.g., compressive strength, thermal expansion, etc.) to yield a consistent and accurate gap distance “G” during sealing ( FIG. 24 ).
- the gap distance between opposing sealing surfaces 112 and 122 during sealing ranges from about 0.001 inches to about 0.005 inches and, more preferably, between about 0.002 and about 0.003 inches.
- stop members 150 a - 150 c are made from an insulative material, e.g., parylene, nylon and/or ceramic and are dimensioned to limit opposing movement of the jaw members 110 and 120 to within the above mentioned gap range. It is envisioned that the stop members 150 a - 150 c may be disposed one or both of the jaw members 110 and 120 depending upon a particular purpose or to achieve a particular result. Many different configurations for the stop members 150 a - 150 c are discussed in detail in commonly-assigned, co-pending U.S. Application Serial No. PCT/US01/11413 entitled “VESSEL SEALER AND DIVIDER WITH NON-CONDUCTIVE STOP MEMBERS” by Dycus et al. which is hereby incorporated by reference in its entirety herein.
- the non-conductive stop members 150 a - 150 c are molded onto the jaw members 110 and 120 (e.g., overmolding, injection molding, etc.), stamped onto the jaw members 110 and 120 or deposited (e.g., deposition) onto the jaw members 110 and 120 .
- one technique involves thermally spraying a ceramic material onto the surface of the jaw member 110 and 120 to form the stop members 150 a - 150 c .
- thermal spraying techniques are contemplated which involve depositing a broad range of heat resistant and insulative materials on various surfaces to create stop members for controlling the gap distance between electrically conductive surfaces 112 , 122 .
- Other techniques for disposing the stop members 150 a - 150 c on the electrically conductive surfaces 112 and 122 are also contemplated, e.g., slide-on, snap-on, adhesives, molds, etc.
- the stop members 150 a - 150 c protrude about 0.001 inches to about 0.005 and preferably about 0.002 inches to about 0.003 inches from the inner-facing surfaces 112 , 122 of the jaw member 110 and 120 , in some cases it may be preferable to have the stop members 150 a - 150 c protrude more or less depending upon a particular purpose.
- the type of material used for the stop members 150 a - 150 c and that material's ability to absorb the large compressive closure forces between jaw members 110 and 120 will vary and, therefore, the overall dimensions of the stop members 150 a - 150 c may vary as well to produce the desired gap distance “G”.
- the compressive strength of the material along with the desired or ultimate gap distance “G” required (desirable) for effective sealing are parameters which are carefully considered when forming the stop members 150 a - 150 c and one material may have to be dimensioned differently from another material to achieve the same gap distance or desired result.
- the compressive strength of nylon is different from ceramic and, therefore, the nylon material may have to be dimensioned differently, e.g., thicker, to counteract the closing force of the opposing jaw members 110 and 120 and to achieve the same desired gap distance “G′” when utilizing a ceramic stop member.
- a tissue seal 425 forms isolating two tissue halves 420 a and 420 b .
- the user must remove and replace the forceps 10 with a cutting instrument (not shown) to divide the tissue halves 420 a and 420 b along the tissue seal 425 .
- this is both time consuming and tedious and may result in inaccurate tissue division across the tissue seal 425 due to misalignment or misplacement of the cutting instrument along the ideal tissue cutting plane “B-B”.
- the present disclosure incorporates a knife assembly 200 which, when activated via the trigger assembly 70 , progressively and selectively divides the tissue 420 along the ideal tissue plane “B-B” in an accurate and precise manner to effectively and reliably divide the tissue 420 into two sealed halves 420 a and 420 b ( FIG. 31 ) with a tissue gap 430 therebetween.
- the reciprocating knife assembly 200 allows the user to quickly separate the tissue 420 immediately after sealing without substituting a cutting instrument through a cannula or trocar port 410 .
- accurate sealing and dividing of tissue 420 is accomplished with the same forceps.
- knife blade 205 may also be coupled to the same or an alternative electrosurgical energy source to facilitate separation of the tissue 420 along the tissue seal 425 (Not shown).
- the angle of the blade tip 207 of the knife blade 205 may be dimensioned to provide more or less aggressive cutting angles depending upon a particular purpose.
- the blade tip 207 may be positioned at an angle which reduces “tissue wisps” associated with cutting.
- the blade tip 207 may be designed having different blade geometries such as serrated, notched, perforated, hollow, concave, convex etc. depending upon a particular purpose or to achieve a particular result.
- the blade tip 207 may have a relatively sharp leading edge, it is also envisioned that the blade tip 207 may be substantially blunt or dull. More particularly, it is contemplated that the combination of the closure force between the jaw members 110 and 120 together with the uniquely designed stop members 150 a - 150 c grip and hold the tissue firmly between the jaw members 110 and 120 to permit cutting of the tissue by blade tip 207 even if tip 207 is substantially blunt. As can be appreciated, designing the blade tip 207 blunt eliminates concerns relating to utilizing sharp objects with the surgical field.
- the jaw members 110 and 120 may be opened by re-grasping the handle 40 as explained below.
- the knife assembly 200 generally cuts in a progressive, uni-directional fashion (i.e., distally), however, it is contemplated that the knife blade may dimensioned to cut bi-directionally as well depending upon a particular purpose.
- the force associated with the recoil of the trigger spring 75 may be utilized to with a second blade (not shown) which is designed to cut stray tissue wisps or dangling tissue upon recoil of the knife assembly.
- re-initiation or re-grasping of the handle 40 again moves t-shaped end 93 of flange 92 generally proximally along exit pathway 58 until end 93 clears a lip 61 disposed atop triangular-shaped members 57 a , 57 b along exit pathway 58 .
- lip 61 is sufficiently cleared, handle 40 and flange 92 are fully and freely releasable from handle 50 along exit pathway 58 upon the reduction of grasping/gripping pressure which, in turn, returns the jaw members 110 and 120 to the open, pre-activated position.
- the forceps 10 may include a sensor or feedback mechanism (not shown) which automatically selects the appropriate amount of electrosurgical energy to effectively seal the particularly-sized tissue grasped between the jaw members 110 and 120 .
- the sensor or feedback mechanism may also measure the impedance across the tissue during sealing and provide an indicator (visual and/or audible) that an effective seal has been created between the jaw members 110 and 120 .
- the trigger assembly 70 may include other types of recoil mechanism which are designed to accomplish the same purpose, e.g., gas-actuated recoil, electrically-actuated recoil (i.e., solenoid), etc. It is also envisioned that the forceps 10 may be used to dive/cut tissue without sealing. Alternatively, the knife assembly may be coupled to the same or alternate electrosurgical energy source to facilitate cutting of the tissue.
- one of the jaw members may include a cam-actuated blade member which is seated within one of the jaw members which, upon reciprocation of a cam member, is biased to cut tissue along a plane substantially perpendicular to the longitudinal axis “A”.
- a shape memory alloy may be employed to cut the tissue upon transformation from an austenitic state to a martenistic state with a change in temperature or stress.
- SMAs are a family of alloys having anthropomorphic qualities of memory and trainability and are particularly well suited for use with medical instruments. SMAs have been applied to such items as actuators for control systems, steerable catheters and clamps.
- One of the most common SMAs is Nitinol which can retain shape memories for two different physical configurations and changes shape as a function of temperature.
- SMAs have been developed based on copper, zinc and aluminum and have similar shape memory retaining features.
- SMAs undergo a crystalline phase transition upon applied temperature and/or stress variations.
- a particularly useful attribute of SMAs is that after it is deformed by temperature/stress, it can completely recover its original shape on being returned to the original temperature. This transformation is referred to as a thermoelastic martenistic transformation.
- thermoelastic martenistic transformation occurs over a temperature range which varies with the composition of the alloy, itself, and the type of thermal-mechanical processing by which it was manufactured.
- the temperature at which a shape is “memorized” by an SMA is a function of the temperature at which the martensite and austenite crystals form in that particular alloy.
- Nitinol alloys can be fabricated so that the shape memory effect will occur over a wide range of temperatures, e.g., ⁇ 270° to +100° Celsius.
- jaw members as shown and described herein depict the jaw members movable in a pivotable manner relative to one another to grasp tissue therebetween, it is envisioned that the forceps may be designed such that the jaw members are mounted in any manner which move one or both jaw members from a first juxtaposed position relative to one another to second contact position against the tissue.
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Otolaryngology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Plasma & Fusion (AREA)
- Physics & Mathematics (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
Description
Claims (3)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/848,773 US7384420B2 (en) | 2001-04-06 | 2004-05-19 | Vessel sealer and divider |
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/472,295 US7101372B2 (en) | 2001-04-06 | 2001-04-06 | Vessel sealer and divider |
PCT/US2001/011340 WO2002080795A1 (en) | 2001-04-06 | 2001-04-06 | Vessel sealer and divider |
US10/848,773 US7384420B2 (en) | 2001-04-06 | 2004-05-19 | Vessel sealer and divider |
Related Parent Applications (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2001/011340 Continuation WO2002080795A1 (en) | 2001-04-06 | 2001-04-06 | Vessel sealer and divider |
US10/472,295 Continuation US7101372B2 (en) | 2001-04-06 | 2001-04-06 | Vessel sealer and divider |
US10472295 Continuation | 2001-04-06 |
Publications (2)
Publication Number | Publication Date |
---|---|
US20040249371A1 US20040249371A1 (en) | 2004-12-09 |
US7384420B2 true US7384420B2 (en) | 2008-06-10 |
Family
ID=32108283
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/472,295 Expired - Lifetime US7101372B2 (en) | 2001-04-06 | 2001-04-06 | Vessel sealer and divider |
US10/848,773 Expired - Fee Related US7384420B2 (en) | 2001-04-06 | 2004-05-19 | Vessel sealer and divider |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/472,295 Expired - Lifetime US7101372B2 (en) | 2001-04-06 | 2001-04-06 | Vessel sealer and divider |
Country Status (1)
Country | Link |
---|---|
US (2) | US7101372B2 (en) |
Cited By (319)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20070198005A1 (en) * | 2006-02-22 | 2007-08-23 | Hiroshi Ichihashi | Coagulating cutter |
US20080249527A1 (en) * | 2007-04-04 | 2008-10-09 | Tyco Healthcare Group Lp | Electrosurgical instrument reducing current densities at an insulator conductor junction |
US7708735B2 (en) | 2003-05-01 | 2010-05-04 | Covidien Ag | Incorporating rapid cooling in tissue fusion heating processes |
US7722607B2 (en) | 2005-09-30 | 2010-05-25 | Covidien Ag | In-line vessel sealer and divider |
US20100130073A1 (en) * | 2008-11-21 | 2010-05-27 | Hobson Michael A | Test fixture with high-current electrical connection |
US20100179546A1 (en) * | 2009-01-14 | 2010-07-15 | Tyco Healthcare Group Lp | Apparatus, System, and Method for Performing an Electrosurgical Procedure |
US7771425B2 (en) | 2003-06-13 | 2010-08-10 | Covidien Ag | Vessel sealer and divider having a variable jaw clamping mechanism |
US7776036B2 (en) | 2003-03-13 | 2010-08-17 | Covidien Ag | Bipolar concentric electrode assembly for soft tissue fusion |
US7776037B2 (en) | 2006-07-07 | 2010-08-17 | Covidien Ag | System and method for controlling electrode gap during tissue sealing |
US7789878B2 (en) | 2005-09-30 | 2010-09-07 | Covidien Ag | In-line vessel sealer and divider |
US7799026B2 (en) | 2002-11-14 | 2010-09-21 | Covidien Ag | Compressible jaw configuration with bipolar RF output electrodes for soft tissue fusion |
US7799028B2 (en) | 2004-09-21 | 2010-09-21 | Covidien Ag | Articulating bipolar electrosurgical instrument |
US7811283B2 (en) | 2003-11-19 | 2010-10-12 | Covidien Ag | Open vessel sealing instrument with hourglass cutting mechanism and over-ratchet safety |
US7828798B2 (en) | 1997-11-14 | 2010-11-09 | Covidien Ag | Laparoscopic bipolar electrosurgical instrument |
US20100286691A1 (en) * | 2009-05-07 | 2010-11-11 | Tyco Healthcare Group Lp | Apparatus, System, and Method for Performing an Electrosurgical Procedure |
US7846161B2 (en) | 2005-09-30 | 2010-12-07 | Covidien Ag | Insulating boot for electrosurgical forceps |
US7857812B2 (en) | 2003-06-13 | 2010-12-28 | Covidien Ag | Vessel sealer and divider having elongated knife stroke and safety for cutting mechanism |
US7877853B2 (en) | 2007-09-20 | 2011-02-01 | Tyco Healthcare Group Lp | Method of manufacturing end effector assembly for sealing tissue |
US7879035B2 (en) | 2005-09-30 | 2011-02-01 | Covidien Ag | Insulating boot for electrosurgical forceps |
US7877852B2 (en) | 2007-09-20 | 2011-02-01 | Tyco Healthcare Group Lp | Method of manufacturing an end effector assembly for sealing tissue |
US7887536B2 (en) | 1998-10-23 | 2011-02-15 | Covidien Ag | Vessel sealing instrument |
US7909823B2 (en) | 2005-01-14 | 2011-03-22 | Covidien Ag | Open vessel sealing instrument |
US7922953B2 (en) | 2005-09-30 | 2011-04-12 | Covidien Ag | Method for manufacturing an end effector assembly |
US7922718B2 (en) | 2003-11-19 | 2011-04-12 | Covidien Ag | Open vessel sealing instrument with cutting mechanism |
US7931649B2 (en) | 2002-10-04 | 2011-04-26 | Tyco Healthcare Group Lp | Vessel sealing instrument with electrical cutting mechanism |
US7935052B2 (en) | 2004-09-09 | 2011-05-03 | Covidien Ag | Forceps with spring loaded end effector assembly |
US7947041B2 (en) | 1998-10-23 | 2011-05-24 | Covidien Ag | Vessel sealing instrument |
US7951150B2 (en) | 2005-01-14 | 2011-05-31 | Covidien Ag | Vessel sealer and divider with rotating sealer and cutter |
US7955332B2 (en) | 2004-10-08 | 2011-06-07 | Covidien Ag | Mechanism for dividing tissue in a hemostat-style instrument |
US7963965B2 (en) | 1997-11-12 | 2011-06-21 | Covidien Ag | Bipolar electrosurgical instrument for sealing vessels |
US8016827B2 (en) | 2008-10-09 | 2011-09-13 | Tyco Healthcare Group Lp | Apparatus, system, and method for performing an electrosurgical procedure |
USD649249S1 (en) | 2007-02-15 | 2011-11-22 | Tyco Healthcare Group Lp | End effectors of an elongated dissecting and dividing instrument |
US8070746B2 (en) | 2006-10-03 | 2011-12-06 | Tyco Healthcare Group Lp | Radiofrequency fusion of cardiac tissue |
US8142473B2 (en) | 2008-10-03 | 2012-03-27 | Tyco Healthcare Group Lp | Method of transferring rotational motion in an articulating surgical instrument |
US20120083785A1 (en) * | 2010-09-30 | 2012-04-05 | Roy Jeffrey M | Vessel Sealing Instrument |
US8162940B2 (en) | 2002-10-04 | 2012-04-24 | Covidien Ag | Vessel sealing instrument with electrical cutting mechanism |
US8162973B2 (en) | 2008-08-15 | 2012-04-24 | Tyco Healthcare Group Lp | Method of transferring pressure in an articulating surgical instrument |
US8192433B2 (en) | 2002-10-04 | 2012-06-05 | Covidien Ag | Vessel sealing instrument with electrical cutting mechanism |
US8197479B2 (en) | 2008-12-10 | 2012-06-12 | Tyco Healthcare Group Lp | Vessel sealer and divider |
US8211105B2 (en) | 1997-11-12 | 2012-07-03 | Covidien Ag | Electrosurgical instrument which reduces collateral damage to adjacent tissue |
US8221416B2 (en) | 2007-09-28 | 2012-07-17 | Tyco Healthcare Group Lp | Insulating boot for electrosurgical forceps with thermoplastic clevis |
US8235992B2 (en) | 2007-09-28 | 2012-08-07 | Tyco Healthcare Group Lp | Insulating boot with mechanical reinforcement for electrosurgical forceps |
US8236025B2 (en) | 2007-09-28 | 2012-08-07 | Tyco Healthcare Group Lp | Silicone insulated electrosurgical forceps |
US8235993B2 (en) | 2007-09-28 | 2012-08-07 | Tyco Healthcare Group Lp | Insulating boot for electrosurgical forceps with exohinged structure |
US8241284B2 (en) | 2001-04-06 | 2012-08-14 | Covidien Ag | Vessel sealer and divider with non-conductive stop members |
US8241283B2 (en) | 2007-09-28 | 2012-08-14 | Tyco Healthcare Group Lp | Dual durometer insulating boot for electrosurgical forceps |
US8241282B2 (en) | 2006-01-24 | 2012-08-14 | Tyco Healthcare Group Lp | Vessel sealing cutting assemblies |
US8251996B2 (en) | 2007-09-28 | 2012-08-28 | Tyco Healthcare Group Lp | Insulating sheath for electrosurgical forceps |
US8256080B2 (en) | 2008-01-28 | 2012-09-04 | Tyco Healthcare Group Lp | System and method for manufacturing a medical instrument |
US8257387B2 (en) | 2008-08-15 | 2012-09-04 | Tyco Healthcare Group Lp | Method of transferring pressure in an articulating surgical instrument |
US8257352B2 (en) | 2003-11-17 | 2012-09-04 | Covidien Ag | Bipolar forceps having monopolar extension |
US8267936B2 (en) | 2007-09-28 | 2012-09-18 | Tyco Healthcare Group Lp | Insulating mechanically-interfaced adhesive for electrosurgical forceps |
US8298228B2 (en) | 1997-11-12 | 2012-10-30 | Coviden Ag | Electrosurgical instrument which reduces collateral damage to adjacent tissue |
US8298232B2 (en) | 2006-01-24 | 2012-10-30 | Tyco Healthcare Group Lp | Endoscopic vessel sealer and divider for large tissue structures |
US8303582B2 (en) | 2008-09-15 | 2012-11-06 | Tyco Healthcare Group Lp | Electrosurgical instrument having a coated electrode utilizing an atomic layer deposition technique |
US8303586B2 (en) | 2003-11-19 | 2012-11-06 | Covidien Ag | Spring loaded reciprocating tissue cutting mechanism in a forceps-style electrosurgical instrument |
WO2012158788A1 (en) | 2011-05-16 | 2012-11-22 | Tyco Healthcare Group Lp | Apparatus for optical tissue sealing |
WO2012158774A1 (en) | 2011-05-16 | 2012-11-22 | Tyco Healthcare Group Lp | Optical recognition of tissue and vessels |
WO2012158777A1 (en) | 2011-05-16 | 2012-11-22 | Tyco Healthcare Group Lp | System for energy-based sealing of tissue with optical feedback |
US8317787B2 (en) | 2008-08-28 | 2012-11-27 | Covidien Lp | Tissue fusion jaw angle improvement |
US8348948B2 (en) | 2004-03-02 | 2013-01-08 | Covidien Ag | Vessel sealing system using capacitive RF dielectric heating |
US8361071B2 (en) | 1999-10-22 | 2013-01-29 | Covidien Ag | Vessel sealing forceps with disposable electrodes |
US8382754B2 (en) | 2005-03-31 | 2013-02-26 | Covidien Ag | Electrosurgical forceps with slow closure sealing plates and method of sealing tissue |
USD680220S1 (en) | 2012-01-12 | 2013-04-16 | Coviden IP | Slider handle for laparoscopic device |
US8469956B2 (en) | 2008-07-21 | 2013-06-25 | Covidien Lp | Variable resistor jaw |
US8469957B2 (en) | 2008-10-07 | 2013-06-25 | Covidien Lp | Apparatus, system, and method for performing an electrosurgical procedure |
US8486107B2 (en) | 2008-10-20 | 2013-07-16 | Covidien Lp | Method of sealing tissue using radiofrequency energy |
US8496656B2 (en) | 2003-05-15 | 2013-07-30 | Covidien Ag | Tissue sealer with non-conductive variable stop members and method of sealing tissue |
US8523898B2 (en) | 2009-07-08 | 2013-09-03 | Covidien Lp | Endoscopic electrosurgical jaws with offset knife |
US8535312B2 (en) | 2008-09-25 | 2013-09-17 | Covidien Lp | Apparatus, system and method for performing an electrosurgical procedure |
US8551088B2 (en) | 2008-03-31 | 2013-10-08 | Applied Medical Resources Corporation | Electrosurgical system |
US20130304063A1 (en) * | 2012-04-18 | 2013-11-14 | Uwe Bacher | Micro-Invasive Medical Instrument |
US8591506B2 (en) | 1998-10-23 | 2013-11-26 | Covidien Ag | Vessel sealing system |
US8597297B2 (en) | 2006-08-29 | 2013-12-03 | Covidien Ag | Vessel sealing instrument with multiple electrode configurations |
US8623276B2 (en) | 2008-02-15 | 2014-01-07 | Covidien Lp | Method and system for sterilizing an electrosurgical instrument |
US8636761B2 (en) | 2008-10-09 | 2014-01-28 | Covidien Lp | Apparatus, system, and method for performing an endoscopic electrosurgical procedure |
US8641713B2 (en) | 2005-09-30 | 2014-02-04 | Covidien Ag | Flexible endoscopic catheter with ligasure |
US8647341B2 (en) | 2003-06-13 | 2014-02-11 | Covidien Ag | Vessel sealer and divider for use with small trocars and cannulas |
US8679140B2 (en) | 2012-05-30 | 2014-03-25 | Covidien Lp | Surgical clamping device with ratcheting grip lock |
US8734443B2 (en) | 2006-01-24 | 2014-05-27 | Covidien Lp | Vessel sealer and divider for large tissue structures |
US8752264B2 (en) | 2012-03-06 | 2014-06-17 | Covidien Lp | Surgical tissue sealer |
US8764748B2 (en) | 2008-02-06 | 2014-07-01 | Covidien Lp | End effector assembly for electrosurgical device and method for making the same |
US8784417B2 (en) | 2008-08-28 | 2014-07-22 | Covidien Lp | Tissue fusion jaw angle improvement |
US8795274B2 (en) | 2008-08-28 | 2014-08-05 | Covidien Lp | Tissue fusion jaw angle improvement |
US8852228B2 (en) | 2009-01-13 | 2014-10-07 | Covidien Lp | Apparatus, system, and method for performing an electrosurgical procedure |
US8882766B2 (en) | 2006-01-24 | 2014-11-11 | Covidien Ag | Method and system for controlling delivery of energy to divide tissue |
US8898888B2 (en) | 2009-09-28 | 2014-12-02 | Covidien Lp | System for manufacturing electrosurgical seal plates |
US8968360B2 (en) | 2012-01-25 | 2015-03-03 | Covidien Lp | Surgical instrument with resilient driving member and related methods of use |
US8968314B2 (en) | 2008-09-25 | 2015-03-03 | Covidien Lp | Apparatus, system and method for performing an electrosurgical procedure |
US8974479B2 (en) | 2011-03-30 | 2015-03-10 | Covidien Lp | Ultrasonic surgical instruments |
US9023043B2 (en) | 2007-09-28 | 2015-05-05 | Covidien Lp | Insulating mechanically-interfaced boot and jaws for electrosurgical forceps |
US9028493B2 (en) | 2009-09-18 | 2015-05-12 | Covidien Lp | In vivo attachable and detachable end effector assembly and laparoscopic surgical instrument and methods therefor |
US9069887B2 (en) | 2000-05-18 | 2015-06-30 | Carefusion 303, Inc. | Patient-specific medication management system |
US9095347B2 (en) | 2003-11-20 | 2015-08-04 | Covidien Ag | Electrically conductive/insulative over shoe for tissue fusion |
US9107672B2 (en) | 1998-10-23 | 2015-08-18 | Covidien Ag | Vessel sealing forceps with disposable electrodes |
US9113940B2 (en) | 2011-01-14 | 2015-08-25 | Covidien Lp | Trigger lockout and kickback mechanism for surgical instruments |
US9113900B2 (en) | 1998-10-23 | 2015-08-25 | Covidien Ag | Method and system for controlling output of RF medical generator |
US9149323B2 (en) | 2003-05-01 | 2015-10-06 | Covidien Ag | Method of fusing biomaterials with radiofrequency energy |
USD743547S1 (en) | 2012-03-08 | 2015-11-17 | Covidien Lp | Handle for laparoscopic device with distal rotation wheel |
USD744100S1 (en) | 2012-03-08 | 2015-11-24 | Covidien Lp | Handle for laparoscopic device |
US9192432B2 (en) | 2012-05-29 | 2015-11-24 | Covidien Lp | Lever latch assemblies for surgical improvements |
USD748260S1 (en) | 2012-03-08 | 2016-01-26 | Covidien Lp | Handle for laparoscopic device with integral rotation wheel |
USD748259S1 (en) | 2014-12-29 | 2016-01-26 | Applied Medical Resources Corporation | Electrosurgical instrument |
US9265566B2 (en) | 2012-10-16 | 2016-02-23 | Covidien Lp | Surgical instrument |
US9295514B2 (en) | 2013-08-30 | 2016-03-29 | Ethicon Endo-Surgery, Llc | Surgical devices with close quarter articulation features |
US9307907B2 (en) | 2004-08-25 | 2016-04-12 | CareFusion 303,Inc. | System and method for dynamically adjusting patient therapy |
US9320563B2 (en) | 2010-10-01 | 2016-04-26 | Applied Medical Resources Corporation | Electrosurgical instruments and connections thereto |
US9375254B2 (en) | 2008-09-25 | 2016-06-28 | Covidien Lp | Seal and separate algorithm |
US9408660B2 (en) | 2014-01-17 | 2016-08-09 | Ethicon Endo-Surgery, Llc | Device trigger dampening mechanism |
US9421060B2 (en) | 2011-10-24 | 2016-08-23 | Ethicon Endo-Surgery, Llc | Litz wire battery powered device |
US9427520B2 (en) | 2005-02-11 | 2016-08-30 | Carefusion 303, Inc. | Management of pending medication orders |
US9456864B2 (en) | 2010-05-17 | 2016-10-04 | Ethicon Endo-Surgery, Llc | Surgical instruments and end effectors therefor |
US9498278B2 (en) | 2010-09-08 | 2016-11-22 | Covidien Lp | Asymmetrical electrodes for bipolar vessel sealing |
US9554854B2 (en) | 2014-03-18 | 2017-01-31 | Ethicon Endo-Surgery, Llc | Detecting short circuits in electrosurgical medical devices |
US9554846B2 (en) | 2010-10-01 | 2017-01-31 | Ethicon Endo-Surgery, Llc | Surgical instrument with jaw member |
US9600633B2 (en) | 2000-05-18 | 2017-03-21 | Carefusion 303, Inc. | Distributed remote asset and medication management drug delivery system |
US9603652B2 (en) | 2008-08-21 | 2017-03-28 | Covidien Lp | Electrosurgical instrument including a sensor |
US9610091B2 (en) | 2010-04-12 | 2017-04-04 | Ethicon Endo-Surgery, Llc | Electrosurgical cutting and sealing instruments with jaws having a parallel closure motion |
USD788302S1 (en) | 2013-10-01 | 2017-05-30 | Covidien Lp | Knife for endoscopic electrosurgical forceps |
US9668807B2 (en) | 2012-05-01 | 2017-06-06 | Covidien Lp | Simplified spring load mechanism for delivering shaft force of a surgical instrument |
US9700333B2 (en) | 2014-06-30 | 2017-07-11 | Ethicon Llc | Surgical instrument with variable tissue compression |
US9737358B2 (en) | 2010-06-10 | 2017-08-22 | Ethicon Llc | Heat management configurations for controlling heat dissipation from electrosurgical instruments |
US9741001B2 (en) | 2000-05-18 | 2017-08-22 | Carefusion 303, Inc. | Predictive medication safety |
US9737355B2 (en) | 2014-03-31 | 2017-08-22 | Ethicon Llc | Controlling impedance rise in electrosurgical medical devices |
US9757186B2 (en) | 2014-04-17 | 2017-09-12 | Ethicon Llc | Device status feedback for bipolar tissue spacer |
US9795435B2 (en) | 2015-05-22 | 2017-10-24 | Covidien Lp | Surgical instruments and methods for performing tonsillectomy, adenoidectomy, and other surgical procedures |
US9795436B2 (en) | 2014-01-07 | 2017-10-24 | Ethicon Llc | Harvesting energy from a surgical generator |
US9808308B2 (en) | 2010-04-12 | 2017-11-07 | Ethicon Llc | Electrosurgical cutting and sealing instruments with cam-actuated jaws |
US9814514B2 (en) | 2013-09-13 | 2017-11-14 | Ethicon Llc | Electrosurgical (RF) medical instruments for cutting and coagulating tissue |
US9820765B2 (en) | 2012-05-01 | 2017-11-21 | Covidien Lp | Surgical instrument with stamped double-flange jaws |
US9848937B2 (en) | 2014-12-22 | 2017-12-26 | Ethicon Llc | End effector with detectable configurations |
US9848938B2 (en) | 2003-11-13 | 2017-12-26 | Covidien Ag | Compressible jaw configuration with bipolar RF output electrodes for soft tissue fusion |
US9872725B2 (en) | 2015-04-29 | 2018-01-23 | Ethicon Llc | RF tissue sealer with mode selection |
US9877776B2 (en) | 2014-08-25 | 2018-01-30 | Ethicon Llc | Simultaneous I-beam and spring driven cam jaw closure mechanism |
US9913680B2 (en) | 2014-04-15 | 2018-03-13 | Ethicon Llc | Software algorithms for electrosurgical instruments |
US9918780B2 (en) | 2015-05-22 | 2018-03-20 | Covidien Lp | Surgical instruments and methods for performing tonsillectomy, adenoidectomy, and other surgical procedures |
US9918781B2 (en) | 2015-05-22 | 2018-03-20 | Covidien Lp | Surgical instruments and methods for performing tonsillectomy, adenoidectomy, and other surgical procedures |
US9949788B2 (en) | 2013-11-08 | 2018-04-24 | Ethicon Endo-Surgery, Llc | Electrosurgical devices |
US10029047B2 (en) | 2013-03-13 | 2018-07-24 | Carefusion 303, Inc. | Patient-specific medication management system |
US10062457B2 (en) | 2012-07-26 | 2018-08-28 | Carefusion 303, Inc. | Predictive notifications for adverse patient events |
US10092348B2 (en) | 2014-12-22 | 2018-10-09 | Ethicon Llc | RF tissue sealer, shear grip, trigger lock mechanism and energy activation |
US10092310B2 (en) | 2014-03-27 | 2018-10-09 | Ethicon Llc | Electrosurgical devices |
US10098689B2 (en) | 2016-02-24 | 2018-10-16 | Covidien Lp | Methods of manufacturing jaw members of surgical forceps |
US10111699B2 (en) | 2014-12-22 | 2018-10-30 | Ethicon Llc | RF tissue sealer, shear grip, trigger lock mechanism and energy activation |
US10117667B2 (en) | 2010-02-11 | 2018-11-06 | Ethicon Llc | Control systems for ultrasonically powered surgical instruments |
US10117702B2 (en) | 2015-04-10 | 2018-11-06 | Ethicon Llc | Surgical generator systems and related methods |
US10130410B2 (en) | 2015-04-17 | 2018-11-20 | Ethicon Llc | Electrosurgical instrument including a cutting member decouplable from a cutting member trigger |
US10149713B2 (en) | 2014-05-16 | 2018-12-11 | Applied Medical Resources Corporation | Electrosurgical system |
US10154852B2 (en) | 2015-07-01 | 2018-12-18 | Ethicon Llc | Ultrasonic surgical blade with improved cutting and coagulation features |
US10159524B2 (en) | 2014-12-22 | 2018-12-25 | Ethicon Llc | High power battery powered RF amplifier topology |
US10166060B2 (en) | 2011-08-30 | 2019-01-01 | Ethicon Llc | Surgical instruments comprising a trigger assembly |
US10172669B2 (en) | 2009-10-09 | 2019-01-08 | Ethicon Llc | Surgical instrument comprising an energy trigger lockout |
US10179022B2 (en) | 2015-12-30 | 2019-01-15 | Ethicon Llc | Jaw position impedance limiter for electrosurgical instrument |
US10194976B2 (en) | 2014-08-25 | 2019-02-05 | Ethicon Llc | Lockout disabling mechanism |
US10194972B2 (en) | 2014-08-26 | 2019-02-05 | Ethicon Llc | Managing tissue treatment |
US10194973B2 (en) | 2015-09-30 | 2019-02-05 | Ethicon Llc | Generator for digitally generating electrical signal waveforms for electrosurgical and ultrasonic surgical instruments |
US10201382B2 (en) | 2009-10-09 | 2019-02-12 | Ethicon Llc | Surgical generator for ultrasonic and electrosurgical devices |
US10213250B2 (en) | 2015-11-05 | 2019-02-26 | Covidien Lp | Deployment and safety mechanisms for surgical instruments |
US10219818B2 (en) | 2015-07-24 | 2019-03-05 | Covidien Lp | Shaft-based surgical forceps and method of manufacturing the same |
US10226273B2 (en) | 2013-03-14 | 2019-03-12 | Ethicon Llc | Mechanical fasteners for use with surgical energy devices |
US10231777B2 (en) | 2014-08-26 | 2019-03-19 | Covidien Lp | Methods of manufacturing jaw members of an end-effector assembly for a surgical instrument |
US10245064B2 (en) | 2016-07-12 | 2019-04-02 | Ethicon Llc | Ultrasonic surgical instrument with piezoelectric central lumen transducer |
US10245065B2 (en) | 2007-11-30 | 2019-04-02 | Ethicon Llc | Ultrasonic surgical blades |
US10251664B2 (en) | 2016-01-15 | 2019-04-09 | Ethicon Llc | Modular battery powered handheld surgical instrument with multi-function motor via shifting gear assembly |
US10278721B2 (en) | 2010-07-22 | 2019-05-07 | Ethicon Llc | Electrosurgical instrument with separate closure and cutting members |
USD847990S1 (en) | 2016-08-16 | 2019-05-07 | Ethicon Llc | Surgical instrument |
US10285724B2 (en) | 2014-07-31 | 2019-05-14 | Ethicon Llc | Actuation mechanisms and load adjustment assemblies for surgical instruments |
US10285723B2 (en) | 2016-08-09 | 2019-05-14 | Ethicon Llc | Ultrasonic surgical blade with improved heel portion |
US10292846B2 (en) | 2010-07-21 | 2019-05-21 | Cook Medical Technologies Llc | Control system for a stent delivery system |
US10299810B2 (en) | 2010-02-11 | 2019-05-28 | Ethicon Llc | Rotatable cutting implements with friction reducing material for ultrasonic surgical instruments |
US10314638B2 (en) | 2015-04-07 | 2019-06-11 | Ethicon Llc | Articulating radio frequency (RF) tissue seal with articulating state sensing |
US10321950B2 (en) | 2015-03-17 | 2019-06-18 | Ethicon Llc | Managing tissue treatment |
US10335183B2 (en) | 2012-06-29 | 2019-07-02 | Ethicon Llc | Feedback devices for surgical control systems |
US10335614B2 (en) | 2008-08-06 | 2019-07-02 | Ethicon Llc | Devices and techniques for cutting and coagulating tissue |
US10335182B2 (en) | 2012-06-29 | 2019-07-02 | Ethicon Llc | Surgical instruments with articulating shafts |
US10342602B2 (en) | 2015-03-17 | 2019-07-09 | Ethicon Llc | Managing tissue treatment |
US10353856B2 (en) | 2011-03-17 | 2019-07-16 | Carefusion 303, Inc. | Scalable communication system |
US10349949B2 (en) | 2013-12-02 | 2019-07-16 | National Cancer Center | Closed loop-type hemostatic clipping device having built-in inner pincers |
US10357303B2 (en) | 2015-06-30 | 2019-07-23 | Ethicon Llc | Translatable outer tube for sealing using shielded lap chole dissector |
US10376305B2 (en) | 2016-08-05 | 2019-08-13 | Ethicon Llc | Methods and systems for advanced harmonic energy |
US10398466B2 (en) | 2007-07-27 | 2019-09-03 | Ethicon Llc | Ultrasonic end effectors with increased active length |
US10420579B2 (en) | 2007-07-31 | 2019-09-24 | Ethicon Llc | Surgical instruments |
US10420580B2 (en) | 2016-08-25 | 2019-09-24 | Ethicon Llc | Ultrasonic transducer for surgical instrument |
US10420603B2 (en) | 2014-12-23 | 2019-09-24 | Applied Medical Resources Corporation | Bipolar electrosurgical sealer and divider |
US10426507B2 (en) | 2007-07-31 | 2019-10-01 | Ethicon Llc | Ultrasonic surgical instruments |
US10430554B2 (en) | 2013-05-23 | 2019-10-01 | Carefusion 303, Inc. | Medication preparation queue |
US10433900B2 (en) | 2011-07-22 | 2019-10-08 | Ethicon Llc | Surgical instruments for tensioning tissue |
US10441308B2 (en) | 2007-11-30 | 2019-10-15 | Ethicon Llc | Ultrasonic surgical instrument blades |
US10441345B2 (en) | 2009-10-09 | 2019-10-15 | Ethicon Llc | Surgical generator for ultrasonic and electrosurgical devices |
US10441310B2 (en) | 2012-06-29 | 2019-10-15 | Ethicon Llc | Surgical instruments with curved section |
US10456193B2 (en) | 2016-05-03 | 2019-10-29 | Ethicon Llc | Medical device with a bilateral jaw configuration for nerve stimulation |
US10463421B2 (en) | 2014-03-27 | 2019-11-05 | Ethicon Llc | Two stage trigger, clamp and cut bipolar vessel sealer |
US10485607B2 (en) | 2016-04-29 | 2019-11-26 | Ethicon Llc | Jaw structure with distal closure for electrosurgical instruments |
US10492852B2 (en) | 2017-02-27 | 2019-12-03 | Covidien Lp | Wire guide for surgical instruments and surgical instruments including a wire guide |
US10517627B2 (en) | 2012-04-09 | 2019-12-31 | Ethicon Llc | Switch arrangements for ultrasonic surgical instruments |
US10524852B1 (en) | 2014-03-28 | 2020-01-07 | Ethicon Llc | Distal sealing end effector with spacers |
US10524854B2 (en) | 2010-07-23 | 2020-01-07 | Ethicon Llc | Surgical instrument |
US10524872B2 (en) | 2012-06-29 | 2020-01-07 | Ethicon Llc | Closed feedback control for electrosurgical device |
US10531910B2 (en) | 2007-07-27 | 2020-01-14 | Ethicon Llc | Surgical instruments |
US10537352B2 (en) | 2004-10-08 | 2020-01-21 | Ethicon Llc | Tissue pads for use with surgical instruments |
US10543008B2 (en) | 2012-06-29 | 2020-01-28 | Ethicon Llc | Ultrasonic surgical instruments with distally positioned jaw assemblies |
US10555769B2 (en) | 2016-02-22 | 2020-02-11 | Ethicon Llc | Flexible circuits for electrosurgical instrument |
US10575892B2 (en) | 2015-12-31 | 2020-03-03 | Ethicon Llc | Adapter for electrical surgical instruments |
US10595930B2 (en) | 2015-10-16 | 2020-03-24 | Ethicon Llc | Electrode wiping surgical device |
US10595929B2 (en) | 2015-03-24 | 2020-03-24 | Ethicon Llc | Surgical instruments with firing system overload protection mechanisms |
US10603117B2 (en) | 2017-06-28 | 2020-03-31 | Ethicon Llc | Articulation state detection mechanisms |
US10603064B2 (en) | 2016-11-28 | 2020-03-31 | Ethicon Llc | Ultrasonic transducer |
US10624662B2 (en) | 2015-05-22 | 2020-04-21 | Covidien Lp | Surgical instruments and methods for performing tonsillectomy, adenoidectomy, and other surgical procedures |
US10639093B2 (en) | 2016-12-01 | 2020-05-05 | Covidien Lp | Surgical instrument including a wire guide |
US10639092B2 (en) | 2014-12-08 | 2020-05-05 | Ethicon Llc | Electrode configurations for surgical instruments |
US10646267B2 (en) | 2013-08-07 | 2020-05-12 | Covidien LLP | Surgical forceps |
US10646269B2 (en) | 2016-04-29 | 2020-05-12 | Ethicon Llc | Non-linear jaw gap for electrosurgical instruments |
US10688321B2 (en) | 2009-07-15 | 2020-06-23 | Ethicon Llc | Ultrasonic surgical instruments |
US10702329B2 (en) | 2016-04-29 | 2020-07-07 | Ethicon Llc | Jaw structure with distal post for electrosurgical instruments |
US10709906B2 (en) | 2009-05-20 | 2020-07-14 | Ethicon Llc | Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments |
US10716615B2 (en) | 2016-01-15 | 2020-07-21 | Ethicon Llc | Modular battery powered handheld surgical instrument with curved end effectors having asymmetric engagement between jaw and blade |
US10722261B2 (en) | 2007-03-22 | 2020-07-28 | Ethicon Llc | Surgical instruments |
US10729494B2 (en) | 2012-02-10 | 2020-08-04 | Ethicon Llc | Robotically controlled surgical instrument |
US10751117B2 (en) | 2016-09-23 | 2020-08-25 | Ethicon Llc | Electrosurgical instrument with fluid diverter |
US10765471B2 (en) | 2016-04-15 | 2020-09-08 | Bolder Surgical, Llc | Electrosurgical sealer and divider |
US10765470B2 (en) | 2015-06-30 | 2020-09-08 | Ethicon Llc | Surgical system with user adaptable techniques employing simultaneous energy modalities based on tissue parameters |
US10779845B2 (en) | 2012-06-29 | 2020-09-22 | Ethicon Llc | Ultrasonic surgical instruments with distally positioned transducers |
US10779848B2 (en) | 2006-01-20 | 2020-09-22 | Ethicon Llc | Ultrasound medical instrument having a medical ultrasonic blade |
US10792092B2 (en) | 2014-05-30 | 2020-10-06 | Applied Medical Resources Corporation | Electrosurgical seal and dissection systems |
US10799284B2 (en) | 2017-03-15 | 2020-10-13 | Ethicon Llc | Electrosurgical instrument with textured jaws |
US10820920B2 (en) | 2017-07-05 | 2020-11-03 | Ethicon Llc | Reusable ultrasonic medical devices and methods of their use |
US10828084B2 (en) | 2015-05-22 | 2020-11-10 | Covidien Lp | Surgical instruments and methods for performing tonsillectomy, adenoidectomy, and other surgical procedures |
US10828057B2 (en) | 2007-03-22 | 2020-11-10 | Ethicon Llc | Ultrasonic surgical instruments |
US10828059B2 (en) | 2007-10-05 | 2020-11-10 | Ethicon Llc | Ergonomic surgical instruments |
US10835768B2 (en) | 2010-02-11 | 2020-11-17 | Ethicon Llc | Dual purpose surgical instrument for cutting and coagulating tissue |
US10835309B1 (en) | 2002-06-25 | 2020-11-17 | Covidien Ag | Vessel sealer and divider |
US10835307B2 (en) | 2001-06-12 | 2020-11-17 | Ethicon Llc | Modular battery powered handheld surgical instrument containing elongated multi-layered shaft |
US10842522B2 (en) | 2016-07-15 | 2020-11-24 | Ethicon Llc | Ultrasonic surgical instruments having offset blades |
US10842580B2 (en) | 2012-06-29 | 2020-11-24 | Ethicon Llc | Ultrasonic surgical instruments with control mechanisms |
US10856934B2 (en) | 2016-04-29 | 2020-12-08 | Ethicon Llc | Electrosurgical instrument with electrically conductive gap setting and tissue engaging members |
US10856896B2 (en) | 2005-10-14 | 2020-12-08 | Ethicon Llc | Ultrasonic device for cutting and coagulating |
US10867265B2 (en) | 2013-03-13 | 2020-12-15 | Carefusion 303, Inc. | Predictive medication safety |
US10874418B2 (en) | 2004-02-27 | 2020-12-29 | Ethicon Llc | Ultrasonic surgical shears and method for sealing a blood vessel using same |
US10881449B2 (en) | 2012-09-28 | 2021-01-05 | Ethicon Llc | Multi-function bi-polar forceps |
US10893883B2 (en) | 2016-07-13 | 2021-01-19 | Ethicon Llc | Ultrasonic assembly for use with ultrasonic surgical instruments |
US10898256B2 (en) | 2015-06-30 | 2021-01-26 | Ethicon Llc | Surgical system with user adaptable techniques based on tissue impedance |
US10912580B2 (en) | 2013-12-16 | 2021-02-09 | Ethicon Llc | Medical device |
US10952788B2 (en) | 2015-06-30 | 2021-03-23 | Ethicon Llc | Surgical instrument with user adaptable algorithms |
US10952759B2 (en) | 2016-08-25 | 2021-03-23 | Ethicon Llc | Tissue loading of a surgical instrument |
US10959771B2 (en) | 2015-10-16 | 2021-03-30 | Ethicon Llc | Suction and irrigation sealing grasper |
US10959806B2 (en) | 2015-12-30 | 2021-03-30 | Ethicon Llc | Energized medical device with reusable handle |
US10987156B2 (en) | 2016-04-29 | 2021-04-27 | Ethicon Llc | Electrosurgical instrument with electrically conductive gap setting member and electrically insulative tissue engaging members |
US10987123B2 (en) | 2012-06-28 | 2021-04-27 | Ethicon Llc | Surgical instruments with articulating shafts |
US10987159B2 (en) | 2015-08-26 | 2021-04-27 | Covidien Lp | Electrosurgical end effector assemblies and electrosurgical forceps configured to reduce thermal spread |
US10993763B2 (en) | 2012-06-29 | 2021-05-04 | Ethicon Llc | Lockout mechanism for use with robotic electrosurgical device |
US11007003B2 (en) | 2016-11-17 | 2021-05-18 | Covidien Lp | Surgical instruments and methods of manufacturing surgical instruments for performing tonsillectomy, adenoidectomy, and other surgical procedures |
US11020140B2 (en) | 2015-06-17 | 2021-06-01 | Cilag Gmbh International | Ultrasonic surgical blade for use with ultrasonic surgical instruments |
US11026710B2 (en) | 2019-01-10 | 2021-06-08 | Covidien Lp | Surgical instruments and methods of manufacturing surgical instruments for performing tonsillectomy, adenoidectomy, and other surgical procedures |
US11033325B2 (en) | 2017-02-16 | 2021-06-15 | Cilag Gmbh International | Electrosurgical instrument with telescoping suction port and debris cleaner |
US11033323B2 (en) | 2017-09-29 | 2021-06-15 | Cilag Gmbh International | Systems and methods for managing fluid and suction in electrosurgical systems |
US11033292B2 (en) | 2013-12-16 | 2021-06-15 | Cilag Gmbh International | Medical device |
US11051873B2 (en) | 2015-06-30 | 2021-07-06 | Cilag Gmbh International | Surgical system with user adaptable techniques employing multiple energy modalities based on tissue parameters |
US11058447B2 (en) | 2007-07-31 | 2021-07-13 | Cilag Gmbh International | Temperature controlled ultrasonic surgical instruments |
US11087873B2 (en) | 2000-05-18 | 2021-08-10 | Carefusion 303, Inc. | Context-aware healthcare notification system |
US11090104B2 (en) | 2009-10-09 | 2021-08-17 | Cilag Gmbh International | Surgical generator for ultrasonic and electrosurgical devices |
US11090103B2 (en) | 2010-05-21 | 2021-08-17 | Cilag Gmbh International | Medical device |
US11123133B2 (en) | 2018-04-24 | 2021-09-21 | Covidien Lp | Method of reprocessing a surgical instrument |
US11129670B2 (en) | 2016-01-15 | 2021-09-28 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization |
US11129669B2 (en) | 2015-06-30 | 2021-09-28 | Cilag Gmbh International | Surgical system with user adaptable techniques based on tissue type |
US11166759B2 (en) | 2017-05-16 | 2021-11-09 | Covidien Lp | Surgical forceps |
US11179190B2 (en) | 2017-12-12 | 2021-11-23 | Gyrus Acmi, Inc. | Laparoscopic forceps assembly with an operable mechanism |
US11182728B2 (en) | 2013-01-30 | 2021-11-23 | Carefusion 303, Inc. | Medication workflow management |
US11179173B2 (en) | 2012-10-22 | 2021-11-23 | Cilag Gmbh International | Surgical instrument |
US11229471B2 (en) | 2016-01-15 | 2022-01-25 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization |
US11241269B2 (en) | 2019-04-04 | 2022-02-08 | Cilag Gmbh International | Surgical devices switchable between monopolar functionality and bipolar functionality |
US11259864B2 (en) | 2019-06-06 | 2022-03-01 | Covidien Lp | Surgical instrument with enhanced trigger |
US11266430B2 (en) | 2016-11-29 | 2022-03-08 | Cilag Gmbh International | End effector control and calibration |
US11272947B2 (en) | 2016-11-17 | 2022-03-15 | Covidien Lp | Surgical instruments for performing tonsillectomy, adenoidectomy, and other surgical procedures |
US11311326B2 (en) | 2015-02-06 | 2022-04-26 | Cilag Gmbh International | Electrosurgical instrument with rotation and articulation mechanisms |
US11324527B2 (en) | 2012-11-15 | 2022-05-10 | Cilag Gmbh International | Ultrasonic and electrosurgical devices |
US11350957B2 (en) | 2019-03-27 | 2022-06-07 | Gyms Acmi, Inc. | Laparoscopic forceps assembly for gripping and dissection |
USD956973S1 (en) | 2003-06-13 | 2022-07-05 | Covidien Ag | Movable handle for endoscopic vessel sealer and divider |
US11413102B2 (en) | 2019-06-27 | 2022-08-16 | Cilag Gmbh International | Multi-access port for surgical robotic systems |
US11452525B2 (en) | 2019-12-30 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising an adjustment system |
US11471212B2 (en) | 2019-04-04 | 2022-10-18 | Cilag Gmbh International | Electrosurgical devices with monopolar and bipolar functionality |
US11484358B2 (en) | 2017-09-29 | 2022-11-01 | Cilag Gmbh International | Flexible electrosurgical instrument |
US11490951B2 (en) | 2017-09-29 | 2022-11-08 | Cilag Gmbh International | Saline contact with electrodes |
US11497546B2 (en) | 2017-03-31 | 2022-11-15 | Cilag Gmbh International | Area ratios of patterned coatings on RF electrodes to reduce sticking |
US11523859B2 (en) | 2012-06-28 | 2022-12-13 | Cilag Gmbh International | Surgical instrument assembly including a removably attachable end effector |
US11547468B2 (en) | 2019-06-27 | 2023-01-10 | Cilag Gmbh International | Robotic surgical system with safety and cooperative sensing control |
US11589916B2 (en) | 2019-12-30 | 2023-02-28 | Cilag Gmbh International | Electrosurgical instruments with electrodes having variable energy densities |
US11607278B2 (en) | 2019-06-27 | 2023-03-21 | Cilag Gmbh International | Cooperative robotic surgical systems |
US11612445B2 (en) | 2019-06-27 | 2023-03-28 | Cilag Gmbh International | Cooperative operation of robotic arms |
US11660089B2 (en) | 2019-12-30 | 2023-05-30 | Cilag Gmbh International | Surgical instrument comprising a sensing system |
US11684412B2 (en) | 2019-12-30 | 2023-06-27 | Cilag Gmbh International | Surgical instrument with rotatable and articulatable surgical end effector |
US11696796B2 (en) | 2018-11-16 | 2023-07-11 | Applied Medical Resources Corporation | Electrosurgical system |
US11696776B2 (en) | 2019-12-30 | 2023-07-11 | Cilag Gmbh International | Articulatable surgical instrument |
US11723716B2 (en) | 2019-12-30 | 2023-08-15 | Cilag Gmbh International | Electrosurgical instrument with variable control mechanisms |
US11723729B2 (en) | 2019-06-27 | 2023-08-15 | Cilag Gmbh International | Robotic surgical assembly coupling safety mechanisms |
US11759251B2 (en) | 2019-12-30 | 2023-09-19 | Cilag Gmbh International | Control program adaptation based on device status and user input |
US11779329B2 (en) | 2019-12-30 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a flex circuit including a sensor system |
US11779387B2 (en) | 2019-12-30 | 2023-10-10 | Cilag Gmbh International | Clamp arm jaw to minimize tissue sticking and improve tissue control |
US11786291B2 (en) | 2019-12-30 | 2023-10-17 | Cilag Gmbh International | Deflectable support of RF energy electrode with respect to opposing ultrasonic blade |
US11812957B2 (en) | 2019-12-30 | 2023-11-14 | Cilag Gmbh International | Surgical instrument comprising a signal interference resolution system |
US11864812B2 (en) | 2018-09-05 | 2024-01-09 | Applied Medical Resources Corporation | Electrosurgical generator control system |
US11877790B2 (en) | 2020-01-07 | 2024-01-23 | Covidien Lp | Surgical forceps having jaw members |
US11911063B2 (en) | 2019-12-30 | 2024-02-27 | Cilag Gmbh International | Techniques for detecting ultrasonic blade to electrode contact and reducing power to ultrasonic blade |
US11931026B2 (en) | 2021-06-30 | 2024-03-19 | Cilag Gmbh International | Staple cartridge replacement |
US11937863B2 (en) | 2019-12-30 | 2024-03-26 | Cilag Gmbh International | Deflectable electrode with variable compression bias along the length of the deflectable electrode |
US11937866B2 (en) | 2019-12-30 | 2024-03-26 | Cilag Gmbh International | Method for an electrosurgical procedure |
US11944366B2 (en) | 2019-12-30 | 2024-04-02 | Cilag Gmbh International | Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode |
US11950797B2 (en) | 2019-12-30 | 2024-04-09 | Cilag Gmbh International | Deflectable electrode with higher distal bias relative to proximal bias |
US11957342B2 (en) | 2021-11-01 | 2024-04-16 | Cilag Gmbh International | Devices, systems, and methods for detecting tissue and foreign objects during a surgical operation |
US11974829B2 (en) | 2021-06-30 | 2024-05-07 | Cilag Gmbh International | Link-driven articulation device for a surgical device |
US11986201B2 (en) | 2019-12-30 | 2024-05-21 | Cilag Gmbh International | Method for operating a surgical instrument |
US12023086B2 (en) | 2019-12-30 | 2024-07-02 | Cilag Gmbh International | Electrosurgical instrument for delivering blended energy modalities to tissue |
US12053224B2 (en) | 2019-12-30 | 2024-08-06 | Cilag Gmbh International | Variation in electrode parameters and deflectable electrode to modify energy density and tissue interaction |
US12053230B2 (en) | 2020-01-07 | 2024-08-06 | Covidien Lp | Surgical forceps having jaw members |
US12059224B2 (en) | 2019-06-27 | 2024-08-13 | Cilag Gmbh International | Robotic surgical system with safety and cooperative sensing control |
US12064109B2 (en) | 2019-12-30 | 2024-08-20 | Cilag Gmbh International | Surgical instrument comprising a feedback control circuit |
US12076006B2 (en) | 2019-12-30 | 2024-09-03 | Cilag Gmbh International | Surgical instrument comprising an orientation detection system |
US12079742B2 (en) | 2013-05-22 | 2024-09-03 | Carefusion 303, Inc. | Medication workflow management |
US12082808B2 (en) | 2019-12-30 | 2024-09-10 | Cilag Gmbh International | Surgical instrument comprising a control system responsive to software configurations |
US12114914B2 (en) | 2022-05-23 | 2024-10-15 | Cilag Gmbh International | Methods and systems for advanced harmonic energy |
Families Citing this family (532)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6267761B1 (en) * | 1997-09-09 | 2001-07-31 | Sherwood Services Ag | Apparatus and method for sealing and cutting tissue |
US7887535B2 (en) | 1999-10-18 | 2011-02-15 | Covidien Ag | Vessel sealing wave jaw |
US6689131B2 (en) | 2001-03-08 | 2004-02-10 | Tissuelink Medical, Inc. | Electrosurgical device having a tissue reduction sensor |
US7811282B2 (en) | 2000-03-06 | 2010-10-12 | Salient Surgical Technologies, Inc. | Fluid-assisted electrosurgical devices, electrosurgical unit with pump and methods of use thereof |
WO2001066026A2 (en) | 2000-03-06 | 2001-09-13 | Tissuelink Medical, Inc. | Fluid delivery system and controller for electrosurgical devices |
US8048070B2 (en) | 2000-03-06 | 2011-11-01 | Salient Surgical Technologies, Inc. | Fluid-assisted medical devices, systems and methods |
US6558385B1 (en) | 2000-09-22 | 2003-05-06 | Tissuelink Medical, Inc. | Fluid-assisted medical device |
US7101372B2 (en) * | 2001-04-06 | 2006-09-05 | Sherwood Sevices Ag | Vessel sealer and divider |
US20090292282A9 (en) * | 2001-04-06 | 2009-11-26 | Dycus Sean T | Movable handle for vessel sealer |
US7101371B2 (en) | 2001-04-06 | 2006-09-05 | Dycus Sean T | Vessel sealer and divider |
US7083618B2 (en) * | 2001-04-06 | 2006-08-01 | Sherwood Services Ag | Vessel sealer and divider |
WO2004039416A2 (en) | 2002-10-29 | 2004-05-13 | Tissuelink Medical, Inc. | Fluid-assisted electrosurgical scissors and methods |
US8128624B2 (en) | 2003-05-01 | 2012-03-06 | Covidien Ag | Electrosurgical instrument that directs energy delivery and protects adjacent tissue |
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
US7727232B1 (en) | 2004-02-04 | 2010-06-01 | Salient Surgical Technologies, Inc. | Fluid-assisted medical devices and methods |
US11998198B2 (en) | 2004-07-28 | 2024-06-04 | Cilag Gmbh International | Surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
US11896225B2 (en) | 2004-07-28 | 2024-02-13 | Cilag Gmbh International | Staple cartridge comprising a pan |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
US20060041252A1 (en) * | 2004-08-17 | 2006-02-23 | Odell Roger C | System and method for monitoring electrosurgical instruments |
US7686827B2 (en) | 2004-10-21 | 2010-03-30 | Covidien Ag | Magnetic closure mechanism for hemostat |
US7803156B2 (en) | 2006-03-08 | 2010-09-28 | Aragon Surgical, Inc. | Method and apparatus for surgical electrocautery |
US8728072B2 (en) * | 2005-05-12 | 2014-05-20 | Aesculap Ag | Electrocautery method and apparatus |
US9339323B2 (en) | 2005-05-12 | 2016-05-17 | Aesculap Ag | Electrocautery method and apparatus |
US8696662B2 (en) | 2005-05-12 | 2014-04-15 | Aesculap Ag | Electrocautery method and apparatus |
US7862565B2 (en) | 2005-05-12 | 2011-01-04 | Aragon Surgical, Inc. | Method for tissue cauterization |
US20060271042A1 (en) * | 2005-05-26 | 2006-11-30 | Gyrus Medical, Inc. | Cutting and coagulating electrosurgical forceps having cam controlled jaw closure |
US7837685B2 (en) | 2005-07-13 | 2010-11-23 | Covidien Ag | Switch mechanisms for safe activation of energy on an electrosurgical instrument |
US7628791B2 (en) | 2005-08-19 | 2009-12-08 | Covidien Ag | Single action tissue sealer |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US8991676B2 (en) | 2007-03-15 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Surgical staple having a slidable crown |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
US7594916B2 (en) * | 2005-11-22 | 2009-09-29 | Covidien Ag | Electrosurgical forceps with energy based tissue division |
US7766910B2 (en) | 2006-01-24 | 2010-08-03 | Tyco Healthcare Group Lp | Vessel sealer and divider for large tissue structures |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
US7753904B2 (en) | 2006-01-31 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Endoscopic surgical instrument with a handle that can articulate with respect to the shaft |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US20110295295A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument having recording capabilities |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
US7998167B2 (en) * | 2006-04-14 | 2011-08-16 | Ethicon Endo-Surgery, Inc. | End effector and method of manufacture |
US8007494B1 (en) | 2006-04-27 | 2011-08-30 | Encision, Inc. | Device and method to prevent surgical burns |
US8574229B2 (en) | 2006-05-02 | 2013-11-05 | Aesculap Ag | Surgical tool |
US7846158B2 (en) | 2006-05-05 | 2010-12-07 | Covidien Ag | Apparatus and method for electrode thermosurgery |
US8251989B1 (en) | 2006-06-13 | 2012-08-28 | Encision, Inc. | Combined bipolar and monopolar electrosurgical instrument and method |
US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
CN101528146B (en) | 2006-07-13 | 2011-06-29 | 博维医药公司 | Surgical sealing and cutting apparatus |
US7744615B2 (en) | 2006-07-18 | 2010-06-29 | Covidien Ag | Apparatus and method for transecting tissue on a bipolar vessel sealing instrument |
US20080033428A1 (en) * | 2006-08-04 | 2008-02-07 | Sherwood Services Ag | System and method for disabling handswitching on an electrosurgical instrument |
US10568652B2 (en) | 2006-09-29 | 2020-02-25 | Ethicon Llc | Surgical staples having attached drivers of different heights and stapling instruments for deploying the same |
US11980366B2 (en) | 2006-10-03 | 2024-05-14 | Cilag Gmbh International | Surgical instrument |
US7951149B2 (en) | 2006-10-17 | 2011-05-31 | Tyco Healthcare Group Lp | Ablative material for use with tissue treatment device |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US8684253B2 (en) | 2007-01-10 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
US8632535B2 (en) | 2007-01-10 | 2014-01-21 | Ethicon Endo-Surgery, Inc. | Interlock and surgical instrument including same |
US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
US7434717B2 (en) | 2007-01-11 | 2008-10-14 | Ethicon Endo-Surgery, Inc. | Apparatus for closing a curved anvil of a surgical stapling device |
US7655004B2 (en) | 2007-02-15 | 2010-02-02 | Ethicon Endo-Surgery, Inc. | Electroporation ablation apparatus, system, and method |
US7815662B2 (en) | 2007-03-08 | 2010-10-19 | Ethicon Endo-Surgery, Inc. | Surgical suture anchors and deployment device |
US8075572B2 (en) | 2007-04-26 | 2011-12-13 | Ethicon Endo-Surgery, Inc. | Surgical suturing apparatus |
US8100922B2 (en) | 2007-04-27 | 2012-01-24 | Ethicon Endo-Surgery, Inc. | Curved needle suturing tool |
US11564682B2 (en) | 2007-06-04 | 2023-01-31 | Cilag Gmbh International | Surgical stapler device |
US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
US11849941B2 (en) | 2007-06-29 | 2023-12-26 | Cilag Gmbh International | Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis |
US8262655B2 (en) | 2007-11-21 | 2012-09-11 | Ethicon Endo-Surgery, Inc. | Bipolar forceps |
US8568410B2 (en) | 2007-08-31 | 2013-10-29 | Ethicon Endo-Surgery, Inc. | Electrical ablation surgical instruments |
US8579897B2 (en) | 2007-11-21 | 2013-11-12 | Ethicon Endo-Surgery, Inc. | Bipolar forceps |
US7703653B2 (en) | 2007-09-28 | 2010-04-27 | Tyco Healthcare Group Lp | Articulation mechanism for surgical instrument |
US20090112059A1 (en) | 2007-10-31 | 2009-04-30 | Nobis Rudolph H | Apparatus and methods for closing a gastrotomy |
US8480657B2 (en) | 2007-10-31 | 2013-07-09 | Ethicon Endo-Surgery, Inc. | Detachable distal overtube section and methods for forming a sealable opening in the wall of an organ |
US8870867B2 (en) | 2008-02-06 | 2014-10-28 | Aesculap Ag | Articulable electrosurgical instrument with a stabilizable articulation actuator |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
US11986183B2 (en) | 2008-02-14 | 2024-05-21 | Cilag Gmbh International | Surgical cutting and fastening instrument comprising a plurality of sensors to measure an electrical parameter |
US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
JP5410110B2 (en) | 2008-02-14 | 2014-02-05 | エシコン・エンド−サージェリィ・インコーポレイテッド | Surgical cutting / fixing instrument with RF electrode |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
US10390823B2 (en) | 2008-02-15 | 2019-08-27 | Ethicon Llc | End effector comprising an adjunct |
US8262680B2 (en) | 2008-03-10 | 2012-09-11 | Ethicon Endo-Surgery, Inc. | Anastomotic device |
US8679003B2 (en) | 2008-05-30 | 2014-03-25 | Ethicon Endo-Surgery, Inc. | Surgical device and endoscope including same |
US8114072B2 (en) | 2008-05-30 | 2012-02-14 | Ethicon Endo-Surgery, Inc. | Electrical ablation device |
US8317806B2 (en) | 2008-05-30 | 2012-11-27 | Ethicon Endo-Surgery, Inc. | Endoscopic suturing tension controlling and indication devices |
US8771260B2 (en) | 2008-05-30 | 2014-07-08 | Ethicon Endo-Surgery, Inc. | Actuating and articulating surgical device |
US8070759B2 (en) | 2008-05-30 | 2011-12-06 | Ethicon Endo-Surgery, Inc. | Surgical fastening device |
US8652150B2 (en) | 2008-05-30 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Multifunction surgical device |
US8906035B2 (en) | 2008-06-04 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Endoscopic drop off bag |
US8403926B2 (en) | 2008-06-05 | 2013-03-26 | Ethicon Endo-Surgery, Inc. | Manually articulating devices |
US8361112B2 (en) | 2008-06-27 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Surgical suture arrangement |
US8888792B2 (en) | 2008-07-14 | 2014-11-18 | Ethicon Endo-Surgery, Inc. | Tissue apposition clip application devices and methods |
US8262563B2 (en) | 2008-07-14 | 2012-09-11 | Ethicon Endo-Surgery, Inc. | Endoscopic translumenal articulatable steerable overtube |
US8211125B2 (en) | 2008-08-15 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Sterile appliance delivery device for endoscopic procedures |
US9833281B2 (en) | 2008-08-18 | 2017-12-05 | Encision Inc. | Enhanced control systems including flexible shielding and support systems for electrosurgical applications |
WO2010022088A1 (en) | 2008-08-18 | 2010-02-25 | Encision, Inc. | Enhanced control systems including flexible shielding and support systems for electrosurgical applications |
US8529563B2 (en) | 2008-08-25 | 2013-09-10 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices |
US8241204B2 (en) | 2008-08-29 | 2012-08-14 | Ethicon Endo-Surgery, Inc. | Articulating end cap |
US8480689B2 (en) | 2008-09-02 | 2013-07-09 | Ethicon Endo-Surgery, Inc. | Suturing device |
US8409200B2 (en) | 2008-09-03 | 2013-04-02 | Ethicon Endo-Surgery, Inc. | Surgical grasping device |
US8114119B2 (en) | 2008-09-09 | 2012-02-14 | Ethicon Endo-Surgery, Inc. | Surgical grasping device |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
US8215532B2 (en) | 2008-09-23 | 2012-07-10 | Tyco Healthcare Group Lp | Tissue stop for surgical instrument |
US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
US8337394B2 (en) | 2008-10-01 | 2012-12-25 | Ethicon Endo-Surgery, Inc. | Overtube with expandable tip |
US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US8157834B2 (en) | 2008-11-25 | 2012-04-17 | Ethicon Endo-Surgery, Inc. | Rotational coupling device for surgical instrument with flexible actuators |
US8172772B2 (en) | 2008-12-11 | 2012-05-08 | Ethicon Endo-Surgery, Inc. | Specimen retrieval device |
US8828031B2 (en) | 2009-01-12 | 2014-09-09 | Ethicon Endo-Surgery, Inc. | Apparatus for forming an anastomosis |
US8361066B2 (en) | 2009-01-12 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices |
US9226772B2 (en) | 2009-01-30 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Surgical device |
US8252057B2 (en) | 2009-01-30 | 2012-08-28 | Ethicon Endo-Surgery, Inc. | Surgical access device |
US8037591B2 (en) | 2009-02-02 | 2011-10-18 | Ethicon Endo-Surgery, Inc. | Surgical scissors |
US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
EP2393430A1 (en) | 2009-02-06 | 2011-12-14 | Ethicon Endo-Surgery, Inc. | Driven surgical stapler improvements |
US20100249498A1 (en) | 2009-03-24 | 2010-09-30 | Tyco Healthcare Group Lp | Endoscopic Apparatus for Manipulating Tissue |
US20100249769A1 (en) * | 2009-03-24 | 2010-09-30 | Tyco Healthcare Group Lp | Apparatus for Tissue Sealing |
US8968358B2 (en) | 2009-08-05 | 2015-03-03 | Covidien Lp | Blunt tissue dissection surgical instrument jaw designs |
US20110054471A1 (en) * | 2009-08-27 | 2011-03-03 | Tyco Healthcare Group Lp | Apparatus for Performing an Electrosurgical Procedure |
US8574231B2 (en) | 2009-10-09 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Surgical instrument for transmitting energy to tissue comprising a movable electrode or insulator |
US8939974B2 (en) | 2009-10-09 | 2015-01-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising first and second drive systems actuatable by a common trigger mechanism |
US8747404B2 (en) | 2009-10-09 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Surgical instrument for transmitting energy to tissue comprising non-conductive grasping portions |
US8906016B2 (en) * | 2009-10-09 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Surgical instrument for transmitting energy to tissue comprising steam control paths |
US20110098704A1 (en) | 2009-10-28 | 2011-04-28 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices |
US8398633B2 (en) | 2009-10-30 | 2013-03-19 | Covidien Lp | Jaw roll joint |
US8608652B2 (en) | 2009-11-05 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Vaginal entry surgical devices, kit, system, and method |
US8496574B2 (en) | 2009-12-17 | 2013-07-30 | Ethicon Endo-Surgery, Inc. | Selectively positionable camera for surgical guide tube assembly |
US8353487B2 (en) | 2009-12-17 | 2013-01-15 | Ethicon Endo-Surgery, Inc. | User interface support devices for endoscopic surgical instruments |
US8506564B2 (en) | 2009-12-18 | 2013-08-13 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an electrode |
US9028483B2 (en) | 2009-12-18 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an electrode |
US8851354B2 (en) | 2009-12-24 | 2014-10-07 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument that analyzes tissue thickness |
US8220688B2 (en) | 2009-12-24 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
US9005198B2 (en) | 2010-01-29 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an electrode |
JP2013518681A (en) | 2010-02-04 | 2013-05-23 | アエスクラップ アーゲー | Laparoscopic high-frequency surgical device |
US8419727B2 (en) | 2010-03-26 | 2013-04-16 | Aesculap Ag | Impedance mediated power delivery for electrosurgery |
US8696665B2 (en) | 2010-03-26 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical cutting and sealing instrument with reduced firing force |
US8827992B2 (en) | 2010-03-26 | 2014-09-09 | Aesculap Ag | Impedance mediated control of power delivery for electrosurgery |
US8496682B2 (en) * | 2010-04-12 | 2013-07-30 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instruments with cam-actuated jaws |
US8535311B2 (en) | 2010-04-22 | 2013-09-17 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument comprising closing and firing systems |
US11278345B2 (en) | 2010-05-25 | 2022-03-22 | Covidien Lp | Accurate jaw closure force in a catheter based instrument |
US8790342B2 (en) | 2010-06-09 | 2014-07-29 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument employing pressure-variation electrodes |
US8888776B2 (en) | 2010-06-09 | 2014-11-18 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument employing an electrode |
US8926607B2 (en) | 2010-06-09 | 2015-01-06 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument employing multiple positive temperature coefficient electrodes |
US8795276B2 (en) | 2010-06-09 | 2014-08-05 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument employing a plurality of electrodes |
US8753338B2 (en) | 2010-06-10 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument employing a thermal management system |
US8764747B2 (en) | 2010-06-10 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument comprising sequentially activated electrodes |
US8512336B2 (en) | 2010-07-08 | 2013-08-20 | Covidien Lp | Optimal geometries for creating current densities in a bipolar electrode configuration |
US9149324B2 (en) | 2010-07-08 | 2015-10-06 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an articulatable end effector |
US20120016413A1 (en) | 2010-07-14 | 2012-01-19 | Ethicon Endo-Surgery, Inc. | Surgical fastening devices comprising rivets |
US8453906B2 (en) | 2010-07-14 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Surgical instruments with electrodes |
US8663270B2 (en) | 2010-07-23 | 2014-03-04 | Conmed Corporation | Jaw movement mechanism and method for a surgical tool |
US8979844B2 (en) | 2010-07-23 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
US8979843B2 (en) | 2010-07-23 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
US9011437B2 (en) | 2010-07-23 | 2015-04-21 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
US8702704B2 (en) | 2010-07-23 | 2014-04-22 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
US8783543B2 (en) | 2010-07-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
US9173698B2 (en) | 2010-09-17 | 2015-11-03 | Aesculap Ag | Electrosurgical tissue sealing augmented with a seal-enhancing composition |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US9168038B2 (en) | 2010-09-30 | 2015-10-27 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising a tissue thickness compensator |
US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US9592050B2 (en) | 2010-09-30 | 2017-03-14 | Ethicon Endo-Surgery, Llc | End effector comprising a distal tissue abutment member |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US9241714B2 (en) | 2011-04-29 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator and method for making the same |
US9320523B2 (en) | 2012-03-28 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising tissue ingrowth features |
US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
US8628529B2 (en) | 2010-10-26 | 2014-01-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument with magnetic clamping force |
US8932293B2 (en) | 2010-11-17 | 2015-01-13 | Covidien Lp | Method and apparatus for vascular tissue sealing with reduced energy consumption |
US8715277B2 (en) | 2010-12-08 | 2014-05-06 | Ethicon Endo-Surgery, Inc. | Control of jaw compression in surgical instrument having end effector with opposing jaw members |
CN101991454B (en) * | 2010-12-10 | 2012-06-13 | 苏州天臣国际医疗科技有限公司 | Novel handle component |
US10092291B2 (en) | 2011-01-25 | 2018-10-09 | Ethicon Endo-Surgery, Inc. | Surgical instrument with selectively rigidizable features |
US9254169B2 (en) | 2011-02-28 | 2016-02-09 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices and methods |
US9233241B2 (en) | 2011-02-28 | 2016-01-12 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices and methods |
US9314620B2 (en) | 2011-02-28 | 2016-04-19 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices and methods |
US9049987B2 (en) | 2011-03-17 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Hand held surgical device for manipulating an internal magnet assembly within a patient |
DE102011001372A1 (en) * | 2011-03-17 | 2012-09-20 | Aesculap Ag | Surgical system for connecting body tissue and control methods for such a surgical system |
CN104053407B (en) | 2011-04-29 | 2016-10-26 | 伊西康内外科公司 | Nail bin including the nail being positioned in its compressible portion |
US9265568B2 (en) | 2011-05-16 | 2016-02-23 | Coviden Lp | Destruction of vessel walls for energy-based vessel sealing enhancement |
US8685009B2 (en) | 2011-05-16 | 2014-04-01 | Covidien Lp | Thread-like knife for tissue cutting |
US8444664B2 (en) * | 2011-05-16 | 2013-05-21 | Covidien Lp | Medical ultrasound instrument with articulated jaws |
US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
US9339327B2 (en) | 2011-06-28 | 2016-05-17 | Aesculap Ag | Electrosurgical tissue dissecting device |
US9044230B2 (en) | 2012-02-13 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status |
US8986199B2 (en) | 2012-02-17 | 2015-03-24 | Ethicon Endo-Surgery, Inc. | Apparatus and methods for cleaning the lens of an endoscope |
CN104321024B (en) | 2012-03-28 | 2017-05-24 | 伊西康内外科公司 | Tissue thickness compensator comprising a plurality of layers |
MX350846B (en) | 2012-03-28 | 2017-09-22 | Ethicon Endo Surgery Inc | Tissue thickness compensator comprising capsules defining a low pressure environment. |
BR112014024194B1 (en) | 2012-03-28 | 2022-03-03 | Ethicon Endo-Surgery, Inc | STAPLER CARTRIDGE SET FOR A SURGICAL STAPLER |
DE102012007650A1 (en) * | 2012-04-18 | 2013-10-24 | Karl Storz Gmbh & Co. Kg | Handling device for a medical instrument |
US8968311B2 (en) * | 2012-05-01 | 2015-03-03 | Covidien Lp | Surgical instrument with stamped double-flag jaws and actuation mechanism |
US9427255B2 (en) | 2012-05-14 | 2016-08-30 | Ethicon Endo-Surgery, Inc. | Apparatus for introducing a steerable camera assembly into a patient |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
BR112014032776B1 (en) | 2012-06-28 | 2021-09-08 | Ethicon Endo-Surgery, Inc | SURGICAL INSTRUMENT SYSTEM AND SURGICAL KIT FOR USE WITH A SURGICAL INSTRUMENT SYSTEM |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
US9649111B2 (en) | 2012-06-28 | 2017-05-16 | Ethicon Endo-Surgery, Llc | Replaceable clip cartridge for a clip applier |
JP6290201B2 (en) | 2012-06-28 | 2018-03-07 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | Lockout for empty clip cartridge |
US11202631B2 (en) | 2012-06-28 | 2021-12-21 | Cilag Gmbh International | Stapling assembly comprising a firing lockout |
US20140005678A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Rotary drive arrangements for surgical instruments |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
US9078662B2 (en) | 2012-07-03 | 2015-07-14 | Ethicon Endo-Surgery, Inc. | Endoscopic cap electrode and method for using the same |
US9545290B2 (en) | 2012-07-30 | 2017-01-17 | Ethicon Endo-Surgery, Inc. | Needle probe guide |
US9572623B2 (en) | 2012-08-02 | 2017-02-21 | Ethicon Endo-Surgery, Inc. | Reusable electrode and disposable sheath |
US10314649B2 (en) | 2012-08-02 | 2019-06-11 | Ethicon Endo-Surgery, Inc. | Flexible expandable electrode and method of intraluminal delivery of pulsed power |
US9277957B2 (en) | 2012-08-15 | 2016-03-08 | Ethicon Endo-Surgery, Inc. | Electrosurgical devices and methods |
CN107252348B (en) | 2012-09-26 | 2019-12-27 | 蛇牌股份公司 | Apparatus for tissue cutting and sealing |
US9681908B2 (en) | 2012-10-08 | 2017-06-20 | Covidien Lp | Jaw assemblies for electrosurgical instruments and methods of manufacturing jaw assemblies |
US10098527B2 (en) | 2013-02-27 | 2018-10-16 | Ethidcon Endo-Surgery, Inc. | System for performing a minimally invasive surgical procedure |
BR112015021082B1 (en) | 2013-03-01 | 2022-05-10 | Ethicon Endo-Surgery, Inc | surgical instrument |
BR112015021098B1 (en) | 2013-03-01 | 2022-02-15 | Ethicon Endo-Surgery, Inc | COVERAGE FOR A JOINT JOINT AND SURGICAL INSTRUMENT |
US9351727B2 (en) | 2013-03-14 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Drive train control arrangements for modular surgical instruments |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
US10136887B2 (en) | 2013-04-16 | 2018-11-27 | Ethicon Llc | Drive system decoupling arrangement for a surgical instrument |
BR112015026109B1 (en) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | surgical instrument |
BR112016003329B1 (en) | 2013-08-23 | 2021-12-21 | Ethicon Endo-Surgery, Llc | SURGICAL INSTRUMENT |
US9283054B2 (en) | 2013-08-23 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Interactive displays |
US9861428B2 (en) | 2013-09-16 | 2018-01-09 | Ethicon Llc | Integrated systems for electrosurgical steam or smoke control |
US9526565B2 (en) | 2013-11-08 | 2016-12-27 | Ethicon Endo-Surgery, Llc | Electrosurgical devices |
US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
US10004497B2 (en) | 2014-03-26 | 2018-06-26 | Ethicon Llc | Interface systems for use with surgical instruments |
US9733663B2 (en) | 2014-03-26 | 2017-08-15 | Ethicon Llc | Power management through segmented circuit and variable voltage protection |
BR112016021943B1 (en) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | SURGICAL INSTRUMENT FOR USE BY AN OPERATOR IN A SURGICAL PROCEDURE |
US10342601B2 (en) * | 2014-04-02 | 2019-07-09 | Covidien Lp | Electrosurgical devices including transverse electrode configurations |
US10278768B2 (en) * | 2014-04-02 | 2019-05-07 | Covidien Lp | Electrosurgical devices including transverse electrode configurations |
BR112016023698B1 (en) | 2014-04-16 | 2022-07-26 | Ethicon Endo-Surgery, Llc | FASTENER CARTRIDGE FOR USE WITH A SURGICAL INSTRUMENT |
BR112016023807B1 (en) | 2014-04-16 | 2022-07-12 | Ethicon Endo-Surgery, Llc | CARTRIDGE SET OF FASTENERS FOR USE WITH A SURGICAL INSTRUMENT |
US10327764B2 (en) | 2014-09-26 | 2019-06-25 | Ethicon Llc | Method for creating a flexible staple line |
BR112016023825B1 (en) | 2014-04-16 | 2022-08-02 | Ethicon Endo-Surgery, Llc | STAPLE CARTRIDGE FOR USE WITH A SURGICAL STAPLER AND STAPLE CARTRIDGE FOR USE WITH A SURGICAL INSTRUMENT |
US10470768B2 (en) | 2014-04-16 | 2019-11-12 | Ethicon Llc | Fastener cartridge including a layer attached thereto |
US20150297223A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
US20160066913A1 (en) | 2014-09-05 | 2016-03-10 | Ethicon Endo-Surgery, Inc. | Local display of tissue parameter stabilization |
BR112017004361B1 (en) | 2014-09-05 | 2023-04-11 | Ethicon Llc | ELECTRONIC SYSTEM FOR A SURGICAL INSTRUMENT |
US10105142B2 (en) | 2014-09-18 | 2018-10-23 | Ethicon Llc | Surgical stapler with plurality of cutting elements |
CN107427300B (en) | 2014-09-26 | 2020-12-04 | 伊西康有限责任公司 | Surgical suture buttress and buttress material |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
US10076325B2 (en) | 2014-10-13 | 2018-09-18 | Ethicon Llc | Surgical stapling apparatus comprising a tissue stop |
US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US9844376B2 (en) | 2014-11-06 | 2017-12-19 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
WO2016100664A1 (en) * | 2014-12-17 | 2016-06-23 | Maquet Cardiovascular Llc | Surgical device |
US9844374B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US9968355B2 (en) | 2014-12-18 | 2018-05-15 | Ethicon Llc | Surgical instruments with articulatable end effectors and improved firing beam support arrangements |
US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
BR112017012996B1 (en) | 2014-12-18 | 2022-11-08 | Ethicon Llc | SURGICAL INSTRUMENT WITH AN ANvil WHICH IS SELECTIVELY MOVABLE ABOUT AN IMMOVABLE GEOMETRIC AXIS DIFFERENT FROM A STAPLE CARTRIDGE |
GB2534147B (en) * | 2015-01-14 | 2018-11-14 | Gyrus Medical Ltd | Manufacturing electrosurgical instruments |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
US9901342B2 (en) | 2015-03-06 | 2018-02-27 | Ethicon Endo-Surgery, Llc | Signal and power communication system positioned on a rotatable shaft |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
US10548504B2 (en) | 2015-03-06 | 2020-02-04 | Ethicon Llc | Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
JP2020121162A (en) | 2015-03-06 | 2020-08-13 | エシコン エルエルシーEthicon LLC | Time dependent evaluation of sensor data to determine stability element, creep element and viscoelastic element of measurement |
US10390825B2 (en) | 2015-03-31 | 2019-08-27 | Ethicon Llc | Surgical instrument with progressive rotary drive systems |
US9987078B2 (en) | 2015-07-22 | 2018-06-05 | Covidien Lp | Surgical forceps |
US10631918B2 (en) | 2015-08-14 | 2020-04-28 | Covidien Lp | Energizable surgical attachment for a mechanical clamp |
US10835249B2 (en) | 2015-08-17 | 2020-11-17 | Ethicon Llc | Implantable layers for a surgical instrument |
US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US10238386B2 (en) | 2015-09-23 | 2019-03-26 | Ethicon Llc | Surgical stapler having motor control based on an electrical parameter related to a motor current |
US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
US10524788B2 (en) | 2015-09-30 | 2020-01-07 | Ethicon Llc | Compressible adjunct with attachment regions |
US10285699B2 (en) | 2015-09-30 | 2019-05-14 | Ethicon Llc | Compressible adjunct |
US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
JP6911054B2 (en) | 2016-02-09 | 2021-07-28 | エシコン エルエルシーEthicon LLC | Surgical instruments with asymmetric joint composition |
US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10617413B2 (en) | 2016-04-01 | 2020-04-14 | Ethicon Llc | Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts |
US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
US10363037B2 (en) | 2016-04-18 | 2019-07-30 | Ethicon Llc | Surgical instrument system comprising a magnetic lockout |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
US10856933B2 (en) | 2016-08-02 | 2020-12-08 | Covidien Lp | Surgical instrument housing incorporating a channel and methods of manufacturing the same |
US10918407B2 (en) | 2016-11-08 | 2021-02-16 | Covidien Lp | Surgical instrument for grasping, treating, and/or dividing tissue |
US10485543B2 (en) | 2016-12-21 | 2019-11-26 | Ethicon Llc | Anvil having a knife slot width |
JP7010956B2 (en) | 2016-12-21 | 2022-01-26 | エシコン エルエルシー | How to staple tissue |
US10835245B2 (en) | 2016-12-21 | 2020-11-17 | Ethicon Llc | Method for attaching a shaft assembly to a surgical instrument and, alternatively, to a surgical robot |
US10888322B2 (en) | 2016-12-21 | 2021-01-12 | Ethicon Llc | Surgical instrument comprising a cutting member |
US20180168615A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument |
US10973516B2 (en) | 2016-12-21 | 2021-04-13 | Ethicon Llc | Surgical end effectors and adaptable firing members therefor |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
US20180168608A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical instrument system comprising an end effector lockout and a firing assembly lockout |
US11419606B2 (en) | 2016-12-21 | 2022-08-23 | Cilag Gmbh International | Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems |
US10758230B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument with primary and safety processors |
MX2019007311A (en) | 2016-12-21 | 2019-11-18 | Ethicon Llc | Surgical stapling systems. |
US20180168633A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments and staple-forming anvils |
CN110114014B (en) | 2016-12-21 | 2022-08-09 | 爱惜康有限责任公司 | Surgical instrument system including end effector and firing assembly lockout |
US10687809B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Surgical staple cartridge with movable camming member configured to disengage firing member lockout features |
US10682138B2 (en) | 2016-12-21 | 2020-06-16 | Ethicon Llc | Bilaterally asymmetric staple forming pocket pairs |
US11090048B2 (en) | 2016-12-21 | 2021-08-17 | Cilag Gmbh International | Method for resetting a fuse of a surgical instrument shaft |
US10588630B2 (en) * | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical tool assemblies with closure stroke reduction features |
JP6983893B2 (en) | 2016-12-21 | 2021-12-17 | エシコン エルエルシーEthicon LLC | Lockout configuration for surgical end effectors and replaceable tool assemblies |
US10617414B2 (en) | 2016-12-21 | 2020-04-14 | Ethicon Llc | Closure member arrangements for surgical instruments |
CN108424832B (en) * | 2017-02-15 | 2021-10-08 | Scl生物科技有限公司 | Device with tissue fine-crushing device |
GB201705171D0 (en) | 2017-03-30 | 2017-05-17 | Creo Medical Ltd | Elecrosurgical instrument |
US11090046B2 (en) | 2017-06-20 | 2021-08-17 | Cilag Gmbh International | Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument |
US11653914B2 (en) | 2017-06-20 | 2023-05-23 | Cilag Gmbh International | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector |
US10307170B2 (en) | 2017-06-20 | 2019-06-04 | Ethicon Llc | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
US11382638B2 (en) | 2017-06-20 | 2022-07-12 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
US10779820B2 (en) | 2017-06-20 | 2020-09-22 | Ethicon Llc | Systems and methods for controlling motor speed according to user input for a surgical instrument |
USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with graphical user interface |
US11071554B2 (en) | 2017-06-20 | 2021-07-27 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements |
US11517325B2 (en) | 2017-06-20 | 2022-12-06 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval |
US10624633B2 (en) | 2017-06-20 | 2020-04-21 | Ethicon Llc | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument |
US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
USD890784S1 (en) | 2017-06-20 | 2020-07-21 | Ethicon Llc | Display panel with changeable graphical user interface |
US10980537B2 (en) | 2017-06-20 | 2021-04-20 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations |
USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
US10813639B2 (en) | 2017-06-20 | 2020-10-27 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions |
US10888321B2 (en) | 2017-06-20 | 2021-01-12 | Ethicon Llc | Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument |
US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
US10631859B2 (en) | 2017-06-27 | 2020-04-28 | Ethicon Llc | Articulation systems for surgical instruments |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
EP3420947B1 (en) | 2017-06-28 | 2022-05-25 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
US11000279B2 (en) | 2017-06-28 | 2021-05-11 | Ethicon Llc | Surgical instrument comprising an articulation system ratio |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
US20190000461A1 (en) | 2017-06-28 | 2019-01-03 | Ethicon Llc | Surgical cutting and fastening devices with pivotable anvil with a tissue locating arrangement in close proximity to an anvil pivot axis |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US10898183B2 (en) | 2017-06-29 | 2021-01-26 | Ethicon Llc | Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing |
US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
US11974742B2 (en) | 2017-08-03 | 2024-05-07 | Cilag Gmbh International | Surgical system comprising an articulation bailout |
US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
US10765429B2 (en) | 2017-09-29 | 2020-09-08 | Ethicon Llc | Systems and methods for providing alerts according to the operational state of a surgical instrument |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
US10779903B2 (en) | 2017-10-31 | 2020-09-22 | Ethicon Llc | Positive shaft rotation lock activated by jaw closure |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
US10779825B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments |
US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
US11197670B2 (en) | 2017-12-15 | 2021-12-14 | Cilag Gmbh International | Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed |
US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
US11006955B2 (en) | 2017-12-15 | 2021-05-18 | Ethicon Llc | End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
US10966718B2 (en) | 2017-12-15 | 2021-04-06 | Ethicon Llc | Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments |
US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
US10828033B2 (en) | 2017-12-15 | 2020-11-10 | Ethicon Llc | Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto |
US10835330B2 (en) | 2017-12-19 | 2020-11-17 | Ethicon Llc | Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly |
US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
US11076853B2 (en) | 2017-12-21 | 2021-08-03 | Cilag Gmbh International | Systems and methods of displaying a knife position during transection for a surgical instrument |
US11364027B2 (en) | 2017-12-21 | 2022-06-21 | Cilag Gmbh International | Surgical instrument comprising speed control |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
US11246601B2 (en) * | 2018-08-13 | 2022-02-15 | Covidien Lp | Elongated assemblies for surgical clip appliers and surgical clip appliers incorporating the same |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
US11083458B2 (en) | 2018-08-20 | 2021-08-10 | Cilag Gmbh International | Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
US10842492B2 (en) | 2018-08-20 | 2020-11-24 | Ethicon Llc | Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
US11147553B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11350938B2 (en) | 2019-06-28 | 2022-06-07 | Cilag Gmbh International | Surgical instrument comprising an aligned rfid sensor |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US12004740B2 (en) | 2019-06-28 | 2024-06-11 | Cilag Gmbh International | Surgical stapling system having an information decryption protocol |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11090050B2 (en) | 2019-09-03 | 2021-08-17 | Covidien Lp | Trigger mechanisms for surgical instruments and surgical instruments including the same |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US12035913B2 (en) | 2019-12-19 | 2024-07-16 | Cilag Gmbh International | Staple cartridge comprising a deployable knife |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US11576672B2 (en) | 2019-12-19 | 2023-02-14 | Cilag Gmbh International | Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
USD975278S1 (en) | 2020-06-02 | 2023-01-10 | Cilag Gmbh International | Staple cartridge |
USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
US12053229B2 (en) | 2020-06-30 | 2024-08-06 | Covidien Lp | Vessel sealing instrument with seal plates for directing the flow of energy |
US11883024B2 (en) | 2020-07-28 | 2024-01-30 | Cilag Gmbh International | Method of operating a surgical instrument |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
US12053175B2 (en) | 2020-10-29 | 2024-08-06 | Cilag Gmbh International | Surgical instrument comprising a stowed closure actuator stop |
US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
US11617577B2 (en) | 2020-10-29 | 2023-04-04 | Cilag Gmbh International | Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11737751B2 (en) | 2020-12-02 | 2023-08-29 | Cilag Gmbh International | Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings |
US11806068B2 (en) * | 2020-12-15 | 2023-11-07 | Covidien Lp | Energy-based surgical instrument for grasping, treating, and/or dividing tissue |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US12108951B2 (en) | 2021-02-26 | 2024-10-08 | Cilag Gmbh International | Staple cartridge comprising a sensing array and a temperature control system |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11980362B2 (en) | 2021-02-26 | 2024-05-14 | Cilag Gmbh International | Surgical instrument system comprising a power transfer coil |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
US11786243B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Firing members having flexible portions for adapting to a load during a surgical firing stroke |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
US11944336B2 (en) | 2021-03-24 | 2024-04-02 | Cilag Gmbh International | Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
US12102323B2 (en) | 2021-03-24 | 2024-10-01 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising a floatable component |
US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11918217B2 (en) | 2021-05-28 | 2024-03-05 | Cilag Gmbh International | Stapling instrument comprising a staple cartridge insertion stop |
US11957337B2 (en) | 2021-10-18 | 2024-04-16 | Cilag Gmbh International | Surgical stapling assembly with offset ramped drive surfaces |
US11980363B2 (en) | 2021-10-18 | 2024-05-14 | Cilag Gmbh International | Row-to-row staple array variations |
US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
US12089841B2 (en) | 2021-10-28 | 2024-09-17 | Cilag CmbH International | Staple cartridge identification systems |
Citations (103)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US371664A (en) | 1887-10-18 | stone | ||
US702472A (en) | 1898-08-08 | 1902-06-17 | Louis M Pignolet | Surgical forceps. |
US728883A (en) | 1902-07-29 | 1903-05-26 | Andrew J Downes | Electrothermic instrument. |
US1586645A (en) | 1925-07-06 | 1926-06-01 | Bierman William | Method of and means for treating animal tissue to coagulate the same |
US2002594A (en) | 1933-03-24 | 1935-05-28 | Wappler Frederick Charles | Instrument for electro-surgical treatment of tissue |
US2011169A (en) | 1932-04-13 | 1935-08-13 | Wappler Frederick Charles | Forcipated surgical electrode |
US2031682A (en) | 1932-11-18 | 1936-02-25 | Wappler Frederick Charles | Method and means for electrosurgical severance of adhesions |
US2176479A (en) | 1937-03-20 | 1939-10-17 | David A Willis | Apparatus for finding and removing metal particles from human and animal bodies |
US2305156A (en) | 1941-04-17 | 1942-12-15 | Weck & Co Edward | Box lock pivot and method of assembling same |
US2632661A (en) | 1948-08-14 | 1953-03-24 | Cristofv Cristjo | Joint for surgical instruments |
US2668538A (en) | 1952-01-30 | 1954-02-09 | George P Pilling & Son Company | Surgical clamping means |
US2796065A (en) | 1955-05-12 | 1957-06-18 | Karl A Kapp | Surgical clamping means |
US3459187A (en) | 1967-03-09 | 1969-08-05 | Weck & Co Inc Edward | Surgical instrument and method of manufacture |
US3643663A (en) | 1968-10-16 | 1972-02-22 | F L Fischer | Coagulating instrument |
US3651811A (en) | 1969-10-10 | 1972-03-28 | Aesculap Werke Ag | Surgical cutting instrument |
US3862630A (en) | 1967-10-27 | 1975-01-28 | Ultrasonic Systems | Ultrasonic surgical methods |
US3866610A (en) | 1967-08-28 | 1975-02-18 | Harold D Kletschka | Cardiovascular clamps |
US3911766A (en) | 1974-05-15 | 1975-10-14 | Pilling Co | Box lock surgical instrument and method of its manufacture |
US3920021A (en) | 1973-05-16 | 1975-11-18 | Siegfried Hiltebrandt | Coagulating devices |
US3921641A (en) | 1973-12-14 | 1975-11-25 | Research Corp | Controlling forceps |
US3938527A (en) | 1973-07-04 | 1976-02-17 | Centre De Recherche Industrielle De Quebec | Instrument for laparoscopic tubal cauterization |
US3952749A (en) | 1974-05-15 | 1976-04-27 | Pilling Co. | Box lock surgical instrument |
US3970088A (en) | 1974-08-28 | 1976-07-20 | Valleylab, Inc. | Electrosurgical devices having sesquipolar electrode structures incorporated therein |
US4005714A (en) | 1975-05-03 | 1977-02-01 | Richard Wolf Gmbh | Bipolar coagulation forceps |
US4041952A (en) | 1976-03-04 | 1977-08-16 | Valleylab, Inc. | Electrosurgical forceps |
US4043342A (en) | 1974-08-28 | 1977-08-23 | Valleylab, Inc. | Electrosurgical devices having sesquipolar electrode structures incorporated therein |
US4074718A (en) | 1976-03-17 | 1978-02-21 | Valleylab, Inc. | Electrosurgical instrument |
US4088134A (en) | 1976-08-05 | 1978-05-09 | Joseph A. Caprini | Forceps |
US4112950A (en) | 1976-10-22 | 1978-09-12 | Aspen Laboratories | Medical electronic apparatus and components |
US4127222A (en) | 1976-11-26 | 1978-11-28 | Adams Roberta V | Sewing thimble |
US4128099A (en) | 1976-09-22 | 1978-12-05 | Richard Wolf Gmbh | Single-pole coagulation forceps |
US4165746A (en) | 1977-06-30 | 1979-08-28 | Burgin Kermit H | Plastic forceps |
US4300564A (en) | 1978-11-09 | 1981-11-17 | Olympus Optical Co., Ltd. | Forceps for extracting stones in the pelvis of a kidney |
US4370980A (en) | 1981-03-11 | 1983-02-01 | Lottick Edward A | Electrocautery hemostat |
US4416276A (en) | 1981-10-26 | 1983-11-22 | Valleylab, Inc. | Adaptive, return electrode monitoring system |
US4452246A (en) | 1981-09-21 | 1984-06-05 | Bader Robert F | Surgical instrument |
US4492231A (en) | 1982-09-17 | 1985-01-08 | Auth David C | Non-sticking electrocautery system and forceps |
US4552143A (en) | 1981-03-11 | 1985-11-12 | Lottick Edward A | Removable switch electrocautery instruments |
US4574804A (en) | 1984-02-27 | 1986-03-11 | Board Of Regents, The University Of Texas System | Optic nerve clamp |
US4597379A (en) * | 1979-05-16 | 1986-07-01 | Cabot Medical Corporation | Method of coagulating muscle tissue |
US4600007A (en) | 1983-09-13 | 1986-07-15 | Fritz Gegauf AG Bernina-Nahmaschinenfab. | Parametrium cutting forceps |
US4655216A (en) | 1985-07-23 | 1987-04-07 | Alfred Tischer | Combination instrument for laparoscopical tube sterilization |
US4657016A (en) | 1984-08-20 | 1987-04-14 | Garito Jon C | Electrosurgical handpiece for blades, needles and forceps |
US4662372A (en) | 1985-08-12 | 1987-05-05 | Acme United Corporation | Disposable surgical instrument and method of forming |
US4671274A (en) | 1984-01-30 | 1987-06-09 | Kharkovsky Nauchno-Issledovatelsky Institut Obschei I | Bipolar electrosurgical instrument |
US4685459A (en) | 1985-03-27 | 1987-08-11 | Fischer Met Gmbh | Device for bipolar high-frequency coagulation of biological tissue |
USD295893S (en) | 1985-09-25 | 1988-05-24 | Acme United Corporation | Disposable surgical clamp |
USD295894S (en) | 1985-09-26 | 1988-05-24 | Acme United Corporation | Disposable surgical scissors |
US4763669A (en) | 1986-01-09 | 1988-08-16 | Jaeger John C | Surgical instrument with adjustable angle of operation |
US4827929A (en) | 1983-08-29 | 1989-05-09 | Joseph Hodge | Angulated surgical instrument |
US4887612A (en) | 1988-04-27 | 1989-12-19 | Esco Precision, Inc. | Endoscopic biopsy forceps |
US4938761A (en) | 1989-03-06 | 1990-07-03 | Mdt Corporation | Bipolar electrosurgical forceps |
US4985030A (en) | 1989-05-27 | 1991-01-15 | Richard Wolf Gmbh | Bipolar coagulation instrument |
US5007908A (en) | 1989-09-29 | 1991-04-16 | Everest Medical Corporation | Electrosurgical instrument having needle cutting electrode and spot-coag electrode |
US5026370A (en) | 1981-03-11 | 1991-06-25 | Lottick Edward A | Electrocautery instrument |
US5084057A (en) | 1989-07-18 | 1992-01-28 | United States Surgical Corporation | Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures |
US5099840A (en) | 1988-01-20 | 1992-03-31 | Goble Nigel M | Diathermy unit |
US5116332A (en) | 1981-03-11 | 1992-05-26 | Lottick Edward A | Electrocautery hemostat |
US5147357A (en) | 1991-03-18 | 1992-09-15 | Rose Anthony T | Medical instrument |
US5151102A (en) | 1989-05-31 | 1992-09-29 | Kyocera Corporation | Blood vessel coagulation/stanching device |
US5176695A (en) | 1991-07-08 | 1993-01-05 | Davinci Medical, Inc. | Surgical cutting means |
US5190541A (en) | 1990-10-17 | 1993-03-02 | Boston Scientific Corporation | Surgical instrument and method |
US5196009A (en) | 1991-09-11 | 1993-03-23 | Kirwan Jr Lawrence T | Non-sticking electrosurgical device having nickel tips |
US5197964A (en) | 1991-11-12 | 1993-03-30 | Everest Medical Corporation | Bipolar instrument utilizing one stationary electrode and one movable electrode |
US5215101A (en) | 1990-05-10 | 1993-06-01 | Symbiosis Corporation | Sharply angled kelly (Jacobs's) clamp |
US5217457A (en) | 1990-03-15 | 1993-06-08 | Valleylab Inc. | Enhanced electrosurgical apparatus |
US5217460A (en) | 1991-03-22 | 1993-06-08 | Knoepfler Dennis J | Multiple purpose forceps |
US5217458A (en) | 1992-04-09 | 1993-06-08 | Everest Medical Corporation | Bipolar biopsy device utilizing a rotatable, single-hinged moving element |
US5219354A (en) | 1989-07-13 | 1993-06-15 | Choudhury Vijay K | Dissecting-cum haemostapling scissors |
US5244462A (en) | 1990-03-15 | 1993-09-14 | Valleylab Inc. | Electrosurgical apparatus |
US5250047A (en) | 1991-10-21 | 1993-10-05 | Everest Medical Corporation | Bipolar laparoscopic instrument with replaceable electrode tip assembly |
US5258006A (en) * | 1992-08-21 | 1993-11-02 | Everest Medical Corporation | Bipolar electrosurgical forceps |
US5261918A (en) | 1992-04-27 | 1993-11-16 | Edward Weck Incorporated | Sheathed surgical instrument and applicator kit |
US5275615A (en) | 1992-09-11 | 1994-01-04 | Anthony Rose | Medical instrument having gripping jaws |
US5277201A (en) | 1992-05-01 | 1994-01-11 | Vesta Medical, Inc. | Endometrial ablation apparatus and method |
US5282799A (en) | 1990-08-24 | 1994-02-01 | Everest Medical Corporation | Bipolar electrosurgical scalpel with paired loop electrodes |
US5304203A (en) | 1992-10-20 | 1994-04-19 | Numed Technologies, Inc. | Tissue extracting forceps for laparoscopic surgery |
US5308357A (en) | 1992-08-21 | 1994-05-03 | Microsurge, Inc. | Handle mechanism for manual instruments |
US5318589A (en) | 1992-04-15 | 1994-06-07 | Microsurge, Inc. | Surgical instrument for endoscopic surgery |
US5324289A (en) | 1991-06-07 | 1994-06-28 | Hemostatic Surgery Corporation | Hemostatic bi-polar electrosurgical cutting apparatus and methods of use |
US5334183A (en) | 1985-08-28 | 1994-08-02 | Valleylab, Inc. | Endoscopic electrosurgical apparatus |
US5334215A (en) | 1993-09-13 | 1994-08-02 | Chen Shih Chieh | Pincers having disposable end members |
US5336221A (en) | 1992-10-14 | 1994-08-09 | Premier Laser Systems, Inc. | Method and apparatus for applying thermal energy to tissue using a clamp |
US5342393A (en) | 1992-08-27 | 1994-08-30 | Duke University | Method and device for vascular repair |
US5342359A (en) | 1993-02-05 | 1994-08-30 | Everest Medical Corporation | Bipolar coagulation device |
US5342381A (en) | 1993-02-11 | 1994-08-30 | Everest Medical Corporation | Combination bipolar scissors and forceps instrument |
US5352222A (en) | 1994-03-15 | 1994-10-04 | Everest Medical Corporation | Surgical scissors with bipolar coagulation feature |
US5354271A (en) | 1993-08-05 | 1994-10-11 | Voda Jan K | Vascular sheath |
US5356408A (en) | 1993-07-16 | 1994-10-18 | Everest Medical Corporation | Bipolar electrosurgical scissors having nonlinear blades |
US5366477A (en) | 1991-10-17 | 1994-11-22 | American Cyanamid Company | Actuating forces transmission link and assembly for use in surgical instruments |
US5368600A (en) | 1993-07-23 | 1994-11-29 | Ethicon, Inc. | Steerable bulldog clamp applier |
US5383897A (en) | 1992-10-19 | 1995-01-24 | Shadyside Hospital | Method and apparatus for closing blood vessel punctures |
US5389104A (en) | 1992-11-18 | 1995-02-14 | Symbiosis Corporation | Arthroscopic surgical instruments |
US5389098A (en) | 1992-05-19 | 1995-02-14 | Olympus Optical Co., Ltd. | Surgical device for stapling and/or fastening body tissues |
US5391183A (en) | 1990-09-21 | 1995-02-21 | Datascope Investment Corp | Device and method sealing puncture wounds |
US5391166A (en) | 1991-06-07 | 1995-02-21 | Hemostatic Surgery Corporation | Bi-polar electrosurgical endoscopic instruments having a detachable working end |
US5396900A (en) | 1991-04-04 | 1995-03-14 | Symbiosis Corporation | Endoscopic end effectors constructed from a combination of conductive and non-conductive materials and useful for selective endoscopic cautery |
US5403312A (en) | 1993-07-22 | 1995-04-04 | Ethicon, Inc. | Electrosurgical hemostatic device |
US5484436A (en) * | 1991-06-07 | 1996-01-16 | Hemostatic Surgery Corporation | Bi-polar electrosurgical instruments and methods of making |
US5891142A (en) * | 1996-12-06 | 1999-04-06 | Eggers & Associates, Inc. | Electrosurgical forceps |
USH1904H (en) * | 1997-05-14 | 2000-10-03 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic method and device |
US6277117B1 (en) * | 1998-10-23 | 2001-08-21 | Sherwood Services Ag | Open vessel sealing forceps with disposable electrodes |
US6358249B1 (en) * | 1997-08-26 | 2002-03-19 | Ethicon, Inc. | Scissorlike electrosurgical cutting instrument |
Family Cites Families (144)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US457959A (en) * | 1891-08-18 | Permutation-lock | ||
US499181A (en) * | 1893-06-06 | Radiator for heating buildings | ||
US496997A (en) * | 1893-05-09 | Automatic fire-escape | ||
US397088A (en) * | 1889-01-29 | Mortimer b | ||
US3038487A (en) * | 1960-11-02 | 1962-06-12 | Lawrence H Gardner | Shuttle valve |
US3338257A (en) * | 1964-05-22 | 1967-08-29 | Westinghouse Air Brake Co | Double check valve |
US3632080A (en) * | 1969-05-12 | 1972-01-04 | Louis T King | Pressure-balanced flapper valve |
US3703185A (en) * | 1970-04-07 | 1972-11-21 | E Systems Inc | Force balancing flapper valve |
SE394902B (en) * | 1975-10-28 | 1977-07-18 | Stal Laval Turbin Ab | FUEL SPREADER FOR FIRE CHAMBER |
US4041695A (en) * | 1975-11-21 | 1977-08-16 | The Garrett Corporation | Fuel system pneumatic purge apparatus and method |
US4222405A (en) * | 1978-07-12 | 1980-09-16 | Rosenblad Corporation | Pressure vacuum breaker |
US4359929A (en) * | 1979-08-23 | 1982-11-23 | United Technologies Corporation | Negative rate compensated hydraulic servo system |
US4467957A (en) * | 1982-09-29 | 1984-08-28 | Bucheit Frederick C | Flue flow regulator |
US4531587A (en) * | 1984-02-22 | 1985-07-30 | Baker Oil Tools, Inc. | Downhole flapper valve |
US4687055A (en) * | 1986-04-07 | 1987-08-18 | Leggett Henry H | Wire-line controlled down-hole shut-in tool for wells |
US5425739A (en) | 1989-03-09 | 1995-06-20 | Avatar Design And Development, Inc. | Anastomosis stent and stent selection system |
US5797958A (en) * | 1989-12-05 | 1998-08-25 | Yoon; Inbae | Endoscopic grasping instrument with scissors |
US5893863A (en) * | 1989-12-05 | 1999-04-13 | Yoon; Inbae | Surgical instrument with jaws and movable internal hook member for use thereof |
US5626609A (en) * | 1990-10-05 | 1997-05-06 | United States Surgical Corporation | Endoscopic surgical instrument |
US5411520A (en) | 1991-11-08 | 1995-05-02 | Kensey Nash Corporation | Hemostatic vessel puncture closure system utilizing a plug located within the puncture tract spaced from the vessel, and method of use |
US5282827A (en) | 1991-11-08 | 1994-02-01 | Kensey Nash Corporation | Hemostatic puncture closure system and method of use |
US5433725A (en) * | 1991-12-13 | 1995-07-18 | Unisurge, Inc. | Hand-held surgical device and tools for use therewith, assembly and method |
US5520693A (en) * | 1992-02-19 | 1996-05-28 | Mcguire; David A. | Femoral guide and methods of precisely forming bone tunnels in cruciate ligament reconstruction of the knee |
US6277112B1 (en) * | 1996-07-16 | 2001-08-21 | Arthrocare Corporation | Methods for electrosurgical spine surgery |
US5681282A (en) * | 1992-01-07 | 1997-10-28 | Arthrocare Corporation | Methods and apparatus for ablation of luminal tissues |
GB9204217D0 (en) | 1992-02-27 | 1992-04-08 | Goble Nigel M | Cauterising apparatus |
US5499997A (en) * | 1992-04-10 | 1996-03-19 | Sharpe Endosurgical Corporation | Endoscopic tenaculum surgical instrument |
US5443463A (en) | 1992-05-01 | 1995-08-22 | Vesta Medical, Inc. | Coagulating forceps |
US5413571A (en) | 1992-07-16 | 1995-05-09 | Sherwood Medical Company | Device for sealing hemostatic incisions |
US5411519A (en) | 1992-09-23 | 1995-05-02 | United States Surgical Corporation | Surgical apparatus having hinged jaw structure |
US5415657A (en) | 1992-10-13 | 1995-05-16 | Taymor-Luria; Howard | Percutaneous vascular sealing method |
US5807393A (en) * | 1992-12-22 | 1998-09-15 | Ethicon Endo-Surgery, Inc. | Surgical tissue treating device with locking mechanism |
US5346175A (en) * | 1992-12-31 | 1994-09-13 | Kelsey-Hayes Company | Variable assist steering control valve |
US5425705A (en) * | 1993-02-22 | 1995-06-20 | Stanford Surgical Technologies, Inc. | Thoracoscopic devices and methods for arresting the heart |
US5496347A (en) * | 1993-03-30 | 1996-03-05 | Olympus Optical Co., Ltd. | Surgical instrument |
GB9309142D0 (en) * | 1993-05-04 | 1993-06-16 | Gyrus Medical Ltd | Laparoscopic instrument |
GB9314391D0 (en) | 1993-07-12 | 1993-08-25 | Gyrus Medical Ltd | A radio frequency oscillator and an electrosurgical generator incorporating such an oscillator |
US5569243A (en) * | 1993-07-13 | 1996-10-29 | Symbiosis Corporation | Double acting endoscopic scissors with bipolar cautery capability |
US5810811A (en) * | 1993-07-22 | 1998-09-22 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic device |
GR940100335A (en) * | 1993-07-22 | 1996-05-22 | Ethicon Inc. | Electrosurgical device for placing staples. |
US5709680A (en) * | 1993-07-22 | 1998-01-20 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic device |
US5693051A (en) * | 1993-07-22 | 1997-12-02 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic device with adaptive electrodes |
US5431674A (en) | 1993-09-07 | 1995-07-11 | Pa Consulting Group | Compound motion cutting device |
US5437292A (en) | 1993-11-19 | 1995-08-01 | Bioseal, Llc | Method for sealing blood vessel puncture sites |
US5391055A (en) * | 1993-11-24 | 1995-02-21 | United Technologies Corporation | Propeller pitch change mechanism with impulse turbines |
US5480409A (en) * | 1994-05-10 | 1996-01-02 | Riza; Erol D. | Laparoscopic surgical instrument |
US5429616A (en) | 1994-05-31 | 1995-07-04 | Schaffer; David I. | Occludable catheter |
US5766130A (en) * | 1994-08-16 | 1998-06-16 | Selmonosky; Carlos A. | Vascular testing method |
US5603723A (en) * | 1995-01-11 | 1997-02-18 | United States Surgical Corporation | Surgical instrument configured to be disassembled for cleaning |
US5603711A (en) * | 1995-01-20 | 1997-02-18 | Everest Medical Corp. | Endoscopic bipolar biopsy forceps |
US5573424A (en) * | 1995-02-09 | 1996-11-12 | Everest Medical Corporation | Apparatus for interfacing a bipolar electrosurgical instrument to a monopolar generator |
US5611798A (en) * | 1995-03-02 | 1997-03-18 | Eggers; Philip E. | Resistively heated cutting and coagulating surgical instrument |
US6179837B1 (en) * | 1995-03-07 | 2001-01-30 | Enable Medical Corporation | Bipolar electrosurgical scissors |
US5647871A (en) * | 1995-03-10 | 1997-07-15 | Microsurge, Inc. | Electrosurgery with cooled electrodes |
US6503248B1 (en) * | 2000-10-30 | 2003-01-07 | Seedling Enterprises, Llc | Cooled, non-sticking electrosurgical devices |
US5624452A (en) * | 1995-04-07 | 1997-04-29 | Ethicon Endo-Surgery, Inc. | Hemostatic surgical cutting or stapling instrument |
US5707369A (en) * | 1995-04-24 | 1998-01-13 | Ethicon Endo-Surgery, Inc. | Temperature feedback monitor for hemostatic surgical instrument |
US5779701A (en) * | 1995-04-27 | 1998-07-14 | Symbiosis Corporation | Bipolar endoscopic surgical scissor blades and instrument incorporating the same |
US5720744A (en) * | 1995-06-06 | 1998-02-24 | Valleylab Inc | Control system for neurosurgery |
US5776130A (en) * | 1995-09-19 | 1998-07-07 | Valleylab, Inc. | Vascular tissue sealing pressure control |
US5662667A (en) * | 1995-09-19 | 1997-09-02 | Ethicon Endo-Surgery, Inc. | Surgical clamping mechanism |
AU703455B2 (en) * | 1995-10-20 | 1999-03-25 | Ethicon Endo-Surgery, Inc. | Self protecting knife for curved jaw surgical instruments |
US7115123B2 (en) * | 1996-01-05 | 2006-10-03 | Thermage, Inc. | Handpiece with electrode and non-volatile memory |
US6126656A (en) * | 1996-01-30 | 2000-10-03 | Utah Medical Products, Inc. | Electrosurgical cutting device |
US5702390A (en) * | 1996-03-12 | 1997-12-30 | Ethicon Endo-Surgery, Inc. | Bioplar cutting and coagulation instrument |
DE19632298B4 (en) * | 1996-08-10 | 2004-09-23 | Deutsches Zentrum für Luft- und Raumfahrt e.V. | Gripping device for use in minimally invasive surgery |
US5814043A (en) * | 1996-09-06 | 1998-09-29 | Mentor Ophthalmics, Inc. | Bipolar electrosurgical device |
US5820630A (en) * | 1996-10-22 | 1998-10-13 | Annex Medical, Inc. | Medical forceps jaw assembly |
US5735849A (en) * | 1996-11-07 | 1998-04-07 | Everest Medical Corporation | Endoscopic forceps with thumb-slide lock release mechanism |
US6113596A (en) * | 1996-12-30 | 2000-09-05 | Enable Medical Corporation | Combination monopolar-bipolar electrosurgical instrument system, instrument and cable |
FR2759165A1 (en) * | 1997-01-31 | 1998-08-07 | Canon Kk | METHOD AND DEVICE FOR DETERMINING THE QUANTITY OF PRODUCT PRESENT IN A TANK, PRODUCT TANK AND ELECTRIC SIGNAL PROCESSING DEVICE FOR SUCH A DETERMINATION DEVICE |
US6050081A (en) * | 1997-02-12 | 2000-04-18 | Jansens Aircraft Systems Controls | Air purging fuel valve for turbine engine |
US6626901B1 (en) * | 1997-03-05 | 2003-09-30 | The Trustees Of Columbia University In The City Of New York | Electrothermal instrument for sealing and joining or cutting tissue |
US6033399A (en) * | 1997-04-09 | 2000-03-07 | Valleylab, Inc. | Electrosurgical generator with adaptive power control |
US6096037A (en) * | 1997-07-29 | 2000-08-01 | Medtronic, Inc. | Tissue sealing electrosurgery device and methods of sealing tissue |
US6402747B1 (en) * | 1997-07-21 | 2002-06-11 | Sherwood Services Ag | Handswitch cord and circuit |
US6280458B1 (en) * | 1997-07-22 | 2001-08-28 | Karl Storz Gmbh & Co. Kg | Surgical grasping and holding forceps |
US6024744A (en) * | 1997-08-27 | 2000-02-15 | Ethicon, Inc. | Combined bipolar scissor and grasper |
EP1011493B1 (en) * | 1997-09-10 | 2005-03-23 | Sherwood Services AG | Bipolar instrument for vessel fusion |
US6726686B2 (en) * | 1997-11-12 | 2004-04-27 | Sherwood Services Ag | Bipolar electrosurgical instrument for sealing vessels |
US6187003B1 (en) * | 1997-11-12 | 2001-02-13 | Sherwood Services Ag | Bipolar electrosurgical instrument for sealing vessels |
US6050996A (en) * | 1997-11-12 | 2000-04-18 | Sherwood Services Ag | Bipolar electrosurgical instrument with replaceable electrodes |
US6352536B1 (en) * | 2000-02-11 | 2002-03-05 | Sherwood Services Ag | Bipolar electrosurgical instrument for sealing vessels |
US7435249B2 (en) * | 1997-11-12 | 2008-10-14 | Covidien Ag | Electrosurgical instruments which reduces collateral damage to adjacent tissue |
US5867526A (en) * | 1997-12-24 | 1999-02-02 | G.D.S Co., Ltd. | Matched filter acting in charge domain |
US6010516A (en) * | 1998-03-20 | 2000-01-04 | Hulka; Jaroslav F. | Bipolar coaptation clamps |
US6030384A (en) * | 1998-05-01 | 2000-02-29 | Nezhat; Camran | Bipolar surgical instruments having focused electrical fields |
US6514252B2 (en) * | 1998-05-01 | 2003-02-04 | Perfect Surgical Techniques, Inc. | Bipolar surgical instruments having focused electrical fields |
US6508815B1 (en) * | 1998-05-08 | 2003-01-21 | Novacept | Radio-frequency generator for powering an ablation device |
US6193718B1 (en) * | 1998-06-10 | 2001-02-27 | Scimed Life Systems, Inc. | Endoscopic electrocautery instrument |
US6679882B1 (en) * | 1998-06-22 | 2004-01-20 | Lina Medical Aps | Electrosurgical device for coagulating and for making incisions, a method of severing blood vessels and a method of coagulating and for making incisions in or severing tissue |
US6053914A (en) * | 1998-06-29 | 2000-04-25 | Ethicon, Inc. | Pivot screw for bipolar surgical instruments |
US5906630A (en) * | 1998-06-30 | 1999-05-25 | Boston Scientific Limited | Eccentric surgical forceps |
JP3450713B2 (en) * | 1998-07-21 | 2003-09-29 | 富士通カンタムデバイス株式会社 | Semiconductor device, method for manufacturing the same, and method for manufacturing microstrip line |
JP2002522183A (en) * | 1998-08-14 | 2002-07-23 | ケイ・ユー・リューヴェン・リサーチ・アンド・デヴェロップメント | Extendable wet electrode |
US20040167508A1 (en) * | 2002-02-11 | 2004-08-26 | Robert Wham | Vessel sealing system |
US7267677B2 (en) * | 1998-10-23 | 2007-09-11 | Sherwood Services Ag | Vessel sealing instrument |
US6585735B1 (en) * | 1998-10-23 | 2003-07-01 | Sherwood Services Ag | Endoscopic bipolar electrosurgical forceps |
US6398779B1 (en) * | 1998-10-23 | 2002-06-04 | Sherwood Services Ag | Vessel sealing system |
US6511480B1 (en) * | 1998-10-23 | 2003-01-28 | Sherwood Services Ag | Open vessel sealing forceps with disposable electrodes |
DE69940706D1 (en) * | 1998-10-23 | 2009-05-20 | Covidien Ag | Endoscopic bipolar electrosurgical forceps |
US6270508B1 (en) * | 1998-10-26 | 2001-08-07 | Charles H. Klieman | End effector and instrument for endoscopic and general surgery needle control |
DE19858512C1 (en) * | 1998-12-18 | 2000-05-25 | Storz Karl Gmbh & Co Kg | Bipolar medical instrument for minimally invasive surgery for endoscopic operations; has mutually insulated leads passing through tubular shaft to conductor elements on linked jaw parts |
US6174309B1 (en) * | 1999-02-11 | 2001-01-16 | Medical Scientific, Inc. | Seal & cut electrosurgical instrument |
US6190386B1 (en) * | 1999-03-09 | 2001-02-20 | Everest Medical Corporation | Electrosurgical forceps with needle electrodes |
US6685724B1 (en) * | 1999-08-24 | 2004-02-03 | The Penn State Research Foundation | Laparoscopic surgical instrument and method |
US6409728B1 (en) * | 1999-08-25 | 2002-06-25 | Sherwood Services Ag | Rotatable bipolar forceps |
US6419675B1 (en) * | 1999-09-03 | 2002-07-16 | Conmed Corporation | Electrosurgical coagulating and cutting instrument |
WO2001066026A2 (en) * | 2000-03-06 | 2001-09-13 | Tissuelink Medical, Inc. | Fluid delivery system and controller for electrosurgical devices |
US6683629B1 (en) * | 2000-08-03 | 2004-01-27 | Neoplanet, Inc. | Method in a computer system for embedding a child window in a parent window |
US20030139741A1 (en) * | 2000-10-31 | 2003-07-24 | Gyrus Medical Limited | Surgical instrument |
US6620161B2 (en) * | 2001-01-24 | 2003-09-16 | Ethicon, Inc. | Electrosurgical instrument with an operational sequencing element |
US6443970B1 (en) * | 2001-01-24 | 2002-09-03 | Ethicon, Inc. | Surgical instrument with a dissecting tip |
US6458128B1 (en) * | 2001-01-24 | 2002-10-01 | Ethicon, Inc. | Electrosurgical instrument with a longitudinal element for conducting RF energy and moving a cutting element |
US20020107517A1 (en) * | 2001-01-26 | 2002-08-08 | Witt David A. | Electrosurgical instrument for coagulation and cutting |
US7101371B2 (en) * | 2001-04-06 | 2006-09-05 | Dycus Sean T | Vessel sealer and divider |
US7090673B2 (en) * | 2001-04-06 | 2006-08-15 | Sherwood Services Ag | Vessel sealer and divider |
US7101372B2 (en) * | 2001-04-06 | 2006-09-05 | Sherwood Sevices Ag | Vessel sealer and divider |
US7083618B2 (en) * | 2001-04-06 | 2006-08-01 | Sherwood Services Ag | Vessel sealer and divider |
US6652514B2 (en) * | 2001-09-13 | 2003-11-25 | Alan G. Ellman | Intelligent selection system for electrosurgical instrument |
US6527771B1 (en) * | 2001-09-28 | 2003-03-04 | Ethicon, Inc. | Surgical device for endoscopic vein harvesting |
US6929644B2 (en) * | 2001-10-22 | 2005-08-16 | Surgrx Inc. | Electrosurgical jaw structure for controlled energy delivery |
US6926716B2 (en) * | 2001-11-09 | 2005-08-09 | Surgrx Inc. | Electrosurgical instrument |
US7083619B2 (en) * | 2001-10-22 | 2006-08-01 | Surgrx, Inc. | Electrosurgical instrument and method of use |
US7011657B2 (en) * | 2001-10-22 | 2006-03-14 | Surgrx, Inc. | Jaw structure for electrosurgical instrument and method of use |
US7753908B2 (en) * | 2002-02-19 | 2010-07-13 | Endoscopic Technologies, Inc. (Estech) | Apparatus for securing an electrophysiology probe to a clamp |
US6676660B2 (en) * | 2002-01-23 | 2004-01-13 | Ethicon Endo-Surgery, Inc. | Feedback light apparatus and method for use with an electrosurgical instrument |
US6733498B2 (en) * | 2002-02-19 | 2004-05-11 | Live Tissue Connect, Inc. | System and method for control of tissue welding |
US20040030330A1 (en) * | 2002-04-18 | 2004-02-12 | Brassell James L. | Electrosurgery systems |
US20030236325A1 (en) * | 2002-05-30 | 2003-12-25 | Michela Bonora | Agricultural articles |
US7033356B2 (en) * | 2002-07-02 | 2006-04-25 | Gyrus Medical, Inc. | Bipolar electrosurgical instrument for cutting desiccating and sealing tissue |
US7044948B2 (en) * | 2002-12-10 | 2006-05-16 | Sherwood Services Ag | Circuit for controlling arc energy from an electrosurgical generator |
US7169146B2 (en) * | 2003-02-14 | 2007-01-30 | Surgrx, Inc. | Electrosurgical probe and method of use |
US7160299B2 (en) * | 2003-05-01 | 2007-01-09 | Sherwood Services Ag | Method of fusing biomaterials with radiofrequency energy |
AU2004237772B2 (en) * | 2003-05-01 | 2009-12-10 | Covidien Ag | Electrosurgical instrument which reduces thermal damage to adjacent tissue |
CA2524289C (en) * | 2003-05-01 | 2016-01-19 | Sherwood Services Ag | Method and system for programming and controlling an electrosurgical generator system |
JP5137230B2 (en) * | 2003-05-15 | 2013-02-06 | コヴィディエン・アクチェンゲゼルシャフト | Tissue sealer with non-conductive variable stop member and method for sealing tissue |
US7156846B2 (en) * | 2003-06-13 | 2007-01-02 | Sherwood Services Ag | Vessel sealer and divider for use with small trocars and cannulas |
US7396336B2 (en) * | 2003-10-30 | 2008-07-08 | Sherwood Services Ag | Switched resonant ultrasonic power amplifier system |
US7131860B2 (en) * | 2003-11-20 | 2006-11-07 | Sherwood Services Ag | Connector systems for electrosurgical generator |
US7300435B2 (en) * | 2003-11-21 | 2007-11-27 | Sherwood Services Ag | Automatic control system for an electrosurgical generator |
US7195631B2 (en) * | 2004-09-09 | 2007-03-27 | Sherwood Services Ag | Forceps with spring loaded end effector assembly |
US7540872B2 (en) * | 2004-09-21 | 2009-06-02 | Covidien Ag | Articulating bipolar electrosurgical instrument |
USD535027S1 (en) * | 2004-10-06 | 2007-01-09 | Sherwood Services Ag | Low profile vessel sealing and cutting mechanism |
-
2001
- 2001-04-06 US US10/472,295 patent/US7101372B2/en not_active Expired - Lifetime
-
2004
- 2004-05-19 US US10/848,773 patent/US7384420B2/en not_active Expired - Fee Related
Patent Citations (106)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US371664A (en) | 1887-10-18 | stone | ||
US702472A (en) | 1898-08-08 | 1902-06-17 | Louis M Pignolet | Surgical forceps. |
US728883A (en) | 1902-07-29 | 1903-05-26 | Andrew J Downes | Electrothermic instrument. |
US1586645A (en) | 1925-07-06 | 1926-06-01 | Bierman William | Method of and means for treating animal tissue to coagulate the same |
US2011169A (en) | 1932-04-13 | 1935-08-13 | Wappler Frederick Charles | Forcipated surgical electrode |
US2031682A (en) | 1932-11-18 | 1936-02-25 | Wappler Frederick Charles | Method and means for electrosurgical severance of adhesions |
US2002594A (en) | 1933-03-24 | 1935-05-28 | Wappler Frederick Charles | Instrument for electro-surgical treatment of tissue |
US2176479A (en) | 1937-03-20 | 1939-10-17 | David A Willis | Apparatus for finding and removing metal particles from human and animal bodies |
US2305156A (en) | 1941-04-17 | 1942-12-15 | Weck & Co Edward | Box lock pivot and method of assembling same |
US2632661A (en) | 1948-08-14 | 1953-03-24 | Cristofv Cristjo | Joint for surgical instruments |
US2668538A (en) | 1952-01-30 | 1954-02-09 | George P Pilling & Son Company | Surgical clamping means |
US2796065A (en) | 1955-05-12 | 1957-06-18 | Karl A Kapp | Surgical clamping means |
US3459187A (en) | 1967-03-09 | 1969-08-05 | Weck & Co Inc Edward | Surgical instrument and method of manufacture |
US3866610A (en) | 1967-08-28 | 1975-02-18 | Harold D Kletschka | Cardiovascular clamps |
US3862630A (en) | 1967-10-27 | 1975-01-28 | Ultrasonic Systems | Ultrasonic surgical methods |
US3643663A (en) | 1968-10-16 | 1972-02-22 | F L Fischer | Coagulating instrument |
US3651811A (en) | 1969-10-10 | 1972-03-28 | Aesculap Werke Ag | Surgical cutting instrument |
US3920021A (en) | 1973-05-16 | 1975-11-18 | Siegfried Hiltebrandt | Coagulating devices |
US3938527A (en) | 1973-07-04 | 1976-02-17 | Centre De Recherche Industrielle De Quebec | Instrument for laparoscopic tubal cauterization |
US3921641A (en) | 1973-12-14 | 1975-11-25 | Research Corp | Controlling forceps |
US3911766A (en) | 1974-05-15 | 1975-10-14 | Pilling Co | Box lock surgical instrument and method of its manufacture |
US3952749A (en) | 1974-05-15 | 1976-04-27 | Pilling Co. | Box lock surgical instrument |
US3970088A (en) | 1974-08-28 | 1976-07-20 | Valleylab, Inc. | Electrosurgical devices having sesquipolar electrode structures incorporated therein |
US3987795A (en) | 1974-08-28 | 1976-10-26 | Valleylab, Inc. | Electrosurgical devices having sesquipolar electrode structures incorporated therein |
US4043342A (en) | 1974-08-28 | 1977-08-23 | Valleylab, Inc. | Electrosurgical devices having sesquipolar electrode structures incorporated therein |
US4005714A (en) | 1975-05-03 | 1977-02-01 | Richard Wolf Gmbh | Bipolar coagulation forceps |
US4041952A (en) | 1976-03-04 | 1977-08-16 | Valleylab, Inc. | Electrosurgical forceps |
US4074718A (en) | 1976-03-17 | 1978-02-21 | Valleylab, Inc. | Electrosurgical instrument |
US4088134A (en) | 1976-08-05 | 1978-05-09 | Joseph A. Caprini | Forceps |
US4128099A (en) | 1976-09-22 | 1978-12-05 | Richard Wolf Gmbh | Single-pole coagulation forceps |
US4112950A (en) | 1976-10-22 | 1978-09-12 | Aspen Laboratories | Medical electronic apparatus and components |
US4127222A (en) | 1976-11-26 | 1978-11-28 | Adams Roberta V | Sewing thimble |
US4165746A (en) | 1977-06-30 | 1979-08-28 | Burgin Kermit H | Plastic forceps |
US4300564A (en) | 1978-11-09 | 1981-11-17 | Olympus Optical Co., Ltd. | Forceps for extracting stones in the pelvis of a kidney |
US4597379A (en) * | 1979-05-16 | 1986-07-01 | Cabot Medical Corporation | Method of coagulating muscle tissue |
US4552143A (en) | 1981-03-11 | 1985-11-12 | Lottick Edward A | Removable switch electrocautery instruments |
US5026370A (en) | 1981-03-11 | 1991-06-25 | Lottick Edward A | Electrocautery instrument |
US4370980A (en) | 1981-03-11 | 1983-02-01 | Lottick Edward A | Electrocautery hemostat |
US5116332A (en) | 1981-03-11 | 1992-05-26 | Lottick Edward A | Electrocautery hemostat |
US4452246A (en) | 1981-09-21 | 1984-06-05 | Bader Robert F | Surgical instrument |
US4416276A (en) | 1981-10-26 | 1983-11-22 | Valleylab, Inc. | Adaptive, return electrode monitoring system |
US4492231A (en) | 1982-09-17 | 1985-01-08 | Auth David C | Non-sticking electrocautery system and forceps |
US4827929A (en) | 1983-08-29 | 1989-05-09 | Joseph Hodge | Angulated surgical instrument |
US4600007A (en) | 1983-09-13 | 1986-07-15 | Fritz Gegauf AG Bernina-Nahmaschinenfab. | Parametrium cutting forceps |
US4671274A (en) | 1984-01-30 | 1987-06-09 | Kharkovsky Nauchno-Issledovatelsky Institut Obschei I | Bipolar electrosurgical instrument |
US4574804A (en) | 1984-02-27 | 1986-03-11 | Board Of Regents, The University Of Texas System | Optic nerve clamp |
US4657016A (en) | 1984-08-20 | 1987-04-14 | Garito Jon C | Electrosurgical handpiece for blades, needles and forceps |
US4685459A (en) | 1985-03-27 | 1987-08-11 | Fischer Met Gmbh | Device for bipolar high-frequency coagulation of biological tissue |
US4655216A (en) | 1985-07-23 | 1987-04-07 | Alfred Tischer | Combination instrument for laparoscopical tube sterilization |
US4662372A (en) | 1985-08-12 | 1987-05-05 | Acme United Corporation | Disposable surgical instrument and method of forming |
US5334183A (en) | 1985-08-28 | 1994-08-02 | Valleylab, Inc. | Endoscopic electrosurgical apparatus |
USD295893S (en) | 1985-09-25 | 1988-05-24 | Acme United Corporation | Disposable surgical clamp |
USD295894S (en) | 1985-09-26 | 1988-05-24 | Acme United Corporation | Disposable surgical scissors |
US4763669A (en) | 1986-01-09 | 1988-08-16 | Jaeger John C | Surgical instrument with adjustable angle of operation |
US5099840A (en) | 1988-01-20 | 1992-03-31 | Goble Nigel M | Diathermy unit |
US4887612A (en) | 1988-04-27 | 1989-12-19 | Esco Precision, Inc. | Endoscopic biopsy forceps |
US4938761A (en) | 1989-03-06 | 1990-07-03 | Mdt Corporation | Bipolar electrosurgical forceps |
US4985030A (en) | 1989-05-27 | 1991-01-15 | Richard Wolf Gmbh | Bipolar coagulation instrument |
US5151102A (en) | 1989-05-31 | 1992-09-29 | Kyocera Corporation | Blood vessel coagulation/stanching device |
US5219354A (en) | 1989-07-13 | 1993-06-15 | Choudhury Vijay K | Dissecting-cum haemostapling scissors |
US5084057A (en) | 1989-07-18 | 1992-01-28 | United States Surgical Corporation | Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures |
US5007908A (en) | 1989-09-29 | 1991-04-16 | Everest Medical Corporation | Electrosurgical instrument having needle cutting electrode and spot-coag electrode |
US5217457A (en) | 1990-03-15 | 1993-06-08 | Valleylab Inc. | Enhanced electrosurgical apparatus |
US5244462A (en) | 1990-03-15 | 1993-09-14 | Valleylab Inc. | Electrosurgical apparatus |
US5215101A (en) | 1990-05-10 | 1993-06-01 | Symbiosis Corporation | Sharply angled kelly (Jacobs's) clamp |
US5282799A (en) | 1990-08-24 | 1994-02-01 | Everest Medical Corporation | Bipolar electrosurgical scalpel with paired loop electrodes |
US5391183A (en) | 1990-09-21 | 1995-02-21 | Datascope Investment Corp | Device and method sealing puncture wounds |
US5190541A (en) | 1990-10-17 | 1993-03-02 | Boston Scientific Corporation | Surgical instrument and method |
US5147357A (en) | 1991-03-18 | 1992-09-15 | Rose Anthony T | Medical instrument |
US5217460A (en) | 1991-03-22 | 1993-06-08 | Knoepfler Dennis J | Multiple purpose forceps |
US5396900A (en) | 1991-04-04 | 1995-03-14 | Symbiosis Corporation | Endoscopic end effectors constructed from a combination of conductive and non-conductive materials and useful for selective endoscopic cautery |
US5324289A (en) | 1991-06-07 | 1994-06-28 | Hemostatic Surgery Corporation | Hemostatic bi-polar electrosurgical cutting apparatus and methods of use |
US5484436A (en) * | 1991-06-07 | 1996-01-16 | Hemostatic Surgery Corporation | Bi-polar electrosurgical instruments and methods of making |
US5391166A (en) | 1991-06-07 | 1995-02-21 | Hemostatic Surgery Corporation | Bi-polar electrosurgical endoscopic instruments having a detachable working end |
US5330471A (en) | 1991-06-07 | 1994-07-19 | Hemostatic Surgery Corporation | Bi-polar electrosurgical endoscopic instruments and methods of use |
US5176695A (en) | 1991-07-08 | 1993-01-05 | Davinci Medical, Inc. | Surgical cutting means |
US5196009A (en) | 1991-09-11 | 1993-03-23 | Kirwan Jr Lawrence T | Non-sticking electrosurgical device having nickel tips |
US5366477A (en) | 1991-10-17 | 1994-11-22 | American Cyanamid Company | Actuating forces transmission link and assembly for use in surgical instruments |
US5250047A (en) | 1991-10-21 | 1993-10-05 | Everest Medical Corporation | Bipolar laparoscopic instrument with replaceable electrode tip assembly |
US5197964A (en) | 1991-11-12 | 1993-03-30 | Everest Medical Corporation | Bipolar instrument utilizing one stationary electrode and one movable electrode |
US5290286A (en) | 1991-11-12 | 1994-03-01 | Everest Medical Corporation | Bipolar instrument utilizing one stationary electrode and one movable electrode |
US5217458A (en) | 1992-04-09 | 1993-06-08 | Everest Medical Corporation | Bipolar biopsy device utilizing a rotatable, single-hinged moving element |
US5318589A (en) | 1992-04-15 | 1994-06-07 | Microsurge, Inc. | Surgical instrument for endoscopic surgery |
US5261918A (en) | 1992-04-27 | 1993-11-16 | Edward Weck Incorporated | Sheathed surgical instrument and applicator kit |
US5277201A (en) | 1992-05-01 | 1994-01-11 | Vesta Medical, Inc. | Endometrial ablation apparatus and method |
US5389098A (en) | 1992-05-19 | 1995-02-14 | Olympus Optical Co., Ltd. | Surgical device for stapling and/or fastening body tissues |
US5258006A (en) * | 1992-08-21 | 1993-11-02 | Everest Medical Corporation | Bipolar electrosurgical forceps |
US5308357A (en) | 1992-08-21 | 1994-05-03 | Microsurge, Inc. | Handle mechanism for manual instruments |
US5342393A (en) | 1992-08-27 | 1994-08-30 | Duke University | Method and device for vascular repair |
US5275615A (en) | 1992-09-11 | 1994-01-04 | Anthony Rose | Medical instrument having gripping jaws |
US5336221A (en) | 1992-10-14 | 1994-08-09 | Premier Laser Systems, Inc. | Method and apparatus for applying thermal energy to tissue using a clamp |
US5383897A (en) | 1992-10-19 | 1995-01-24 | Shadyside Hospital | Method and apparatus for closing blood vessel punctures |
US5304203A (en) | 1992-10-20 | 1994-04-19 | Numed Technologies, Inc. | Tissue extracting forceps for laparoscopic surgery |
US5389104A (en) | 1992-11-18 | 1995-02-14 | Symbiosis Corporation | Arthroscopic surgical instruments |
US5342359A (en) | 1993-02-05 | 1994-08-30 | Everest Medical Corporation | Bipolar coagulation device |
US5342381A (en) | 1993-02-11 | 1994-08-30 | Everest Medical Corporation | Combination bipolar scissors and forceps instrument |
US5356408A (en) | 1993-07-16 | 1994-10-18 | Everest Medical Corporation | Bipolar electrosurgical scissors having nonlinear blades |
US5403312A (en) | 1993-07-22 | 1995-04-04 | Ethicon, Inc. | Electrosurgical hemostatic device |
US5368600A (en) | 1993-07-23 | 1994-11-29 | Ethicon, Inc. | Steerable bulldog clamp applier |
US5354271A (en) | 1993-08-05 | 1994-10-11 | Voda Jan K | Vascular sheath |
US5334215A (en) | 1993-09-13 | 1994-08-02 | Chen Shih Chieh | Pincers having disposable end members |
US5352222A (en) | 1994-03-15 | 1994-10-04 | Everest Medical Corporation | Surgical scissors with bipolar coagulation feature |
US5891142A (en) * | 1996-12-06 | 1999-04-06 | Eggers & Associates, Inc. | Electrosurgical forceps |
USH1904H (en) * | 1997-05-14 | 2000-10-03 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic method and device |
US6358249B1 (en) * | 1997-08-26 | 2002-03-19 | Ethicon, Inc. | Scissorlike electrosurgical cutting instrument |
US6277117B1 (en) * | 1998-10-23 | 2001-08-21 | Sherwood Services Ag | Open vessel sealing forceps with disposable electrodes |
Non-Patent Citations (94)
Title |
---|
"Innovations in Electrosurgery" Sales/Product Literature; Dec. 31, 2000. |
"Reducing Needlestick Injuries in the Operating Room" Sales/Product Literature 2001. |
Barbara Levy, "Use of a New Vessel Ligation Device During Vaginal Hysterectomy" FIGO 2000, Washington, D.C. |
Bergdahl et al. "Studies on Coagulation and the Development of an Automatic Computerized Bipolar Coagulator" J.Neurosurg, vol. 75, Jul. 1991, pp. 148-151. |
Carbonell et al., "Comparison of theGyrus PlasmaKinetic Sealer and the Valleylab LigaSure Device in the Hemostasis of Small, Medium, and Large-Sized Arteries" Carolinas Laparoscopic and Advanced Surgery Program, Carolinas Medical Center, Charlotte, NC 2003. |
Carus et al., "Initial Experience With The LigaSure Vessel Sealing System in Abdominal Surgery" Innovations That Work,□Jun. 2002. |
Chung et al., "Clinical Experience of Sutureless Closed Hemorrhoidectomy with LigaSure" Diseases of the Colon & Rectum vol. 48, No. 1 Jan. 2003. |
Craig Johnson, "Use of the LigaSure Vessel Sealing System in Bloodless Hemorrhoidectomy" Innovations That Work, □Mar. 2000. |
Crawford et al. "Use of the LigaSure Vessel Sealing System in Urologic Cancer Surger" Grand Rounds in Urology 1999 vol. 1 Issue 4 pp. 10-17. |
Dulemba et al. "Use of a Bipolar Electrothermal Vessel Sealer in Laparoscopically Assisted Vaginal Hysterectomy" Sales Product Literature; Jan. 2004. |
E. David Crawford "Evaluation of a New Vessel Sealing Device in Urologic Cancer Surgery" Sales/Product Literature 2000. |
E. David Crawford "Use of a Novel Vessel Sealing Technology in Management of the Dorsal Veinous Complex" Sales/Product Literature 2000. |
EP 04027314, International Search Report. |
EP 04027479, International Search Report. |
EP 04027705, International Search Report. |
EP 98944778, International Search Report. |
EP 98958575, International Search Report. |
Heniford et al. "Initial Research and Clinical Results with an Electrothermal Bipolar Vessel Sealer" Oct. 1999. |
Heniford et al. "Initial Results with an Electrothermal Bipolar Vessel Sealer" Surgical Endoscopy (2000) 15:799-801. |
Herman et al., "Laparoscopic Intestinal Resection With the LigaSure Vessel Sealing System: A Case Report" Innovations That Work,□Feb. 2002. |
International Search Report EP 04013772 dated Apr. 1, 2005. |
International Search Report EP 05013895 dated Oct. 14, 2005. |
International Search Report EP 05017281 dated Nov. 16, 2005. |
International Search Report EP 98958575.7 dated Sep. 20, 2002. |
International Search Report PCT/US01/11224 dated Nov. 13, 2001. |
Int'l Search Report EP 04 752343.6 dated Jul. 20, 2007. |
Int'l Search Report EP 04013772 dated Apr. 1, 2005. |
Int'l Search Report EP 05013463.4 dated Sep. 28, 2005. |
Int'l Search Report EP 05013895 dated Oct. 14, 2005. |
Int'l Search Report EP 05016399 dated Jan. 5, 2006. |
Int'l Search Report EP 05017281 dated Nov. 16, 2005. |
Int'l Search Report EP 05019130.3 dated Oct. 18, 2005. |
Int'l Search Report EP 05020665.5 dated Feb. 16, 2006. |
Int'l Search Report EP 05020666.3 dated Feb. 17, 2006. |
Int'l Search Report EP 05021197.8 dated Jan. 31, 2006. |
Int'l Search Report EP 05021779.3 dated Jan. 18, 2006. |
Int'l Search Report EP 05021780.1 dated Feb. 9, 2006. |
Int'l Search Report EP 05021937.7 dated Jan. 13, 2006. |
Int'l Search Report EP 05023017.6 dated Feb. 16, 2006. |
Int'l Search Report EP 06 024122.1 dated Mar. 19, 2007. |
Int'l Search Report EP 06005185.1 dated Apr. 18, 2006. |
Int'l Search Report EP 06006716 dated Aug. 4, 2006. |
Int'l Search Report EP 06008779.8 dated Jun. 13, 2006. |
Int'l Search Report EP 06014461.5 dated Oct. 20, 2006. |
Int'l Search Report EP 06020583.8 dated Jan. 30, 2007. |
Int'l Search Report EP 06020584.6 dated Jan. 12, 2007. |
Int'l Search Report EP 06020756.0 dated Feb. 5, 2007. |
Int'l Search Report EP 06024123.9 dated Feb. 26, 2007. |
Int'l Search Report EP 07 001480.8 dated Apr. 12, 2007. |
Int'l Search Report EP 07 001488.1 dated May 29, 2007. |
Int'l Search Report EP 07 009321.6 dated Aug. 17, 2007. |
Int'l Search Report EP 08002279.5 dated Mar. 22, 2006. |
Int'l Search Report EP 1683496 dated Jun. 13, 2006. |
Int'l Search Report PCT/US01/11218. |
Int'l Search Report PCT/US01/11224 dated Nov. 13, 2001. |
Int'l Search Report PCT/US98/18640. |
Int'l Search Report PCT/US98/23950. |
Int'l Search Report PCT/US99/24869. |
Int'l Search Report-extended- EP 05021937.7 dated Mar. 6, 2006. |
Int'l Seearch Report -Extended EP 07 009029.5 dated Jul. 12, 2007. |
Jarrett et al., "Use of the LigaSure Vessel Sealing System for Peri-Hilar Vessels in Laparoscopic Nephrectomy" Sales/Product Literature 2000. |
Johnson et al. "Evaluation of a Bipolar electrothermal Vessel Sealing Device in Hemorrhoidectomy" Sales Product Literature; Jan. 2004. |
Johnson et al. "Evaluation of a Bipolar electrothermal Vessel Sealing Device in Hemorrhoidectomy" Sales/Product Literature; Jan. 2004. |
Johnson et al. "Evaluation of the LigaSure Vessel Sealing System in Hemorrhoidectomy" American College of Surgeons (ACS) Clinicla Congress Poster (2000). |
Joseph Ortenberg "LigaSure System Used in Laparoscopic 1st and 2nd Stage Orchiopexy" Innovations That Work, Nov. 2002. |
Kennedy et al. "High-burst-strength, feedback-controlled bipolar vessel sealing" Surgical Endoscopy (1998) 12: 876-878. |
Koyle et al., "Laparoscopic Palomo Varicocele Ligation in Children and Adolescents" Pediatric Endosurgery & Innovative Techniques, vol. 6, No. 1, 2002. |
Levy et al. "Randomized Trial of Suture Versus Electrosurgical Bipolar Vessel Sealing in Vaginal Hysterectomy" Obstetrics & Gynecology, vol. 102, No. 1, Jul. 2003. |
Levy et al. "Use of a New Energy-based Vessel Ligation Device During Vaginal Hysterectomy" Int'l Federation of Gynecology and Obstetrics (FIGO) World Congress, Nov. 1999. |
Levy et al., "Update on Hysterectomy-New Technologies and Techniques" OBG Management, Feb. 2003. |
LigaSure Vessel Sealing System, the Seal of Confidence in General, Gynecologic, Urologic, and Laparaoscopic Surgery Sales/Product Literature; Jan. 2004. |
Linehan et al. "A Phase I Study of the LigaSure Vessel Sealing System in Hepatic Surgery" Section of HPB Surger, Washington University School of Medicine, St. Louis MO, Presented at AHPBA, Feb. 2001. |
McLellan et al. "Vessel Sealing For Hemostasis During Gynecologic Surgery" Sales/Product Literature 1999. |
McLellan et al. "Vessel Sealing for Hemostasis During Pelvic Surgery" Int'l Federation of Gynecology and Obstetrics FIGO World Congress 2000, Washington, D.C. |
Michael Choti, "Abdominoperineal Resection with the LigaSure Vessel Sealing System and LigaSure Atlas 20 cm Open Instrument" Innovations That Work, □Jun. 2003. |
Muller et al., "Extended Left Hemicotectomy Using the LigaSure Vessel Sealing System" Innovations That Work, □Sep. 1999. |
Olsson et al. "Radical Cystectomy in Females" Current Surgical Techniques in Urology, vol. 14; Issue 3, 2001. |
Palazzo et al. "Randomized clinical trial of Ligasure versus open haemorrhoidectomy" British Journal of Surgery 2002, 89, 154-157. |
Paul G. Horgan, "A Novel Technique for Parenchymal Division During Hapatectomy" The American Journal of Surgery, vol. 181, No. 3, □Apr. 2001 pp. 236-237. |
PCT/US01/11340, International Search Report. |
PCT/US01/11420, International Search Report. |
PCT/US02/01890, International Search Report. |
PCT/US02/11100, International Search Report. |
PCT/US04/03436, International Search Report. |
PCT/US04/13273, International Search Report. |
PCT/US04/15311, International Search Report. |
Peterson et al. "Comparison of Healing Process Following Ligation with Sutures and Bipolar Vessel Sealing" Surgical Technology International (2001). |
Rothenberg et al. "Use of the LigaSure Vessel Sealing System in Minimally Invasive Surgery in Children" Int'l Pediatric Endosurgery Group (IPEG) 2000. |
Sayfan et al. "Sutureless Closed Hemorroidectomy: A New Technique" Annals of Surgery vol. 234 No. 1 Jul. 2001 pp. 21-24. |
Sengupta et al., "Use of a Computer-Controlled Bipolar Diathermy System in Radical Prostatectomies and Other Open Urological Surgery" ANZ Journal of Surgery (2001) 71.9 pp. 538-540. |
Sigel et al. "The Mechanism of Blood Vessel Closure by High Frequency Electrocoagulation" Surgery Gynecology & Obstetrics, Oct. 1965 pp. 823-831. |
Strasberg et al., "Use of a Bipolar Vessel-Sealing Device for Parenchymal Transection During Liver Surgery" Journal of Gastrointestinal Surgery, vol. 6, No. 4, Jul./Aug. 2002 pp. 569-574. |
US 6,663,629, 12/2003, Buysse et al. (withdrawn) |
W. Scott Helton, "LigaSure Vessel Sealing System: Revolutionary Hemostasis Product for General Surgery" Sales/Product Literature 1999. |
Cited By (534)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8211105B2 (en) | 1997-11-12 | 2012-07-03 | Covidien Ag | Electrosurgical instrument which reduces collateral damage to adjacent tissue |
US7963965B2 (en) | 1997-11-12 | 2011-06-21 | Covidien Ag | Bipolar electrosurgical instrument for sealing vessels |
US8298228B2 (en) | 1997-11-12 | 2012-10-30 | Coviden Ag | Electrosurgical instrument which reduces collateral damage to adjacent tissue |
US7828798B2 (en) | 1997-11-14 | 2010-11-09 | Covidien Ag | Laparoscopic bipolar electrosurgical instrument |
US9107672B2 (en) | 1998-10-23 | 2015-08-18 | Covidien Ag | Vessel sealing forceps with disposable electrodes |
US7896878B2 (en) | 1998-10-23 | 2011-03-01 | Coviden Ag | Vessel sealing instrument |
US9168089B2 (en) | 1998-10-23 | 2015-10-27 | Covidien Ag | Method and system for controlling output of RF medical generator |
US7947041B2 (en) | 1998-10-23 | 2011-05-24 | Covidien Ag | Vessel sealing instrument |
US9375271B2 (en) | 1998-10-23 | 2016-06-28 | Covidien Ag | Vessel sealing system |
US9375270B2 (en) | 1998-10-23 | 2016-06-28 | Covidien Ag | Vessel sealing system |
US9463067B2 (en) | 1998-10-23 | 2016-10-11 | Covidien Ag | Vessel sealing system |
US9113900B2 (en) | 1998-10-23 | 2015-08-25 | Covidien Ag | Method and system for controlling output of RF medical generator |
US7887536B2 (en) | 1998-10-23 | 2011-02-15 | Covidien Ag | Vessel sealing instrument |
US8591506B2 (en) | 1998-10-23 | 2013-11-26 | Covidien Ag | Vessel sealing system |
US8361071B2 (en) | 1999-10-22 | 2013-01-29 | Covidien Ag | Vessel sealing forceps with disposable electrodes |
US11087873B2 (en) | 2000-05-18 | 2021-08-10 | Carefusion 303, Inc. | Context-aware healthcare notification system |
US9600633B2 (en) | 2000-05-18 | 2017-03-21 | Carefusion 303, Inc. | Distributed remote asset and medication management drug delivery system |
US9741001B2 (en) | 2000-05-18 | 2017-08-22 | Carefusion 303, Inc. | Predictive medication safety |
US10275571B2 (en) | 2000-05-18 | 2019-04-30 | Carefusion 303, Inc. | Distributed remote asset and medication management drug delivery system |
US11823791B2 (en) | 2000-05-18 | 2023-11-21 | Carefusion 303, Inc. | Context-aware healthcare notification system |
US9069887B2 (en) | 2000-05-18 | 2015-06-30 | Carefusion 303, Inc. | Patient-specific medication management system |
US10251696B2 (en) | 2001-04-06 | 2019-04-09 | Covidien Ag | Vessel sealer and divider with stop members |
US10849681B2 (en) | 2001-04-06 | 2020-12-01 | Covidien Ag | Vessel sealer and divider |
US10881453B1 (en) | 2001-04-06 | 2021-01-05 | Covidien Ag | Vessel sealer and divider |
US10687887B2 (en) | 2001-04-06 | 2020-06-23 | Covidien Ag | Vessel sealer and divider |
US8241284B2 (en) | 2001-04-06 | 2012-08-14 | Covidien Ag | Vessel sealer and divider with non-conductive stop members |
US10265121B2 (en) | 2001-04-06 | 2019-04-23 | Covidien Ag | Vessel sealer and divider |
US11229472B2 (en) | 2001-06-12 | 2022-01-25 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with multiple magnetic position sensors |
US10835307B2 (en) | 2001-06-12 | 2020-11-17 | Ethicon Llc | Modular battery powered handheld surgical instrument containing elongated multi-layered shaft |
US10835309B1 (en) | 2002-06-25 | 2020-11-17 | Covidien Ag | Vessel sealer and divider |
US10918436B2 (en) | 2002-06-25 | 2021-02-16 | Covidien Ag | Vessel sealer and divider |
US8192433B2 (en) | 2002-10-04 | 2012-06-05 | Covidien Ag | Vessel sealing instrument with electrical cutting mechanism |
US10987160B2 (en) | 2002-10-04 | 2021-04-27 | Covidien Ag | Vessel sealing instrument with cutting mechanism |
US8551091B2 (en) | 2002-10-04 | 2013-10-08 | Covidien Ag | Vessel sealing instrument with electrical cutting mechanism |
US7931649B2 (en) | 2002-10-04 | 2011-04-26 | Tyco Healthcare Group Lp | Vessel sealing instrument with electrical cutting mechanism |
US8740901B2 (en) | 2002-10-04 | 2014-06-03 | Covidien Ag | Vessel sealing instrument with electrical cutting mechanism |
US9585716B2 (en) | 2002-10-04 | 2017-03-07 | Covidien Ag | Vessel sealing instrument with electrical cutting mechanism |
US10537384B2 (en) | 2002-10-04 | 2020-01-21 | Covidien Lp | Vessel sealing instrument with electrical cutting mechanism |
US8333765B2 (en) | 2002-10-04 | 2012-12-18 | Covidien Ag | Vessel sealing instrument with electrical cutting mechanism |
US8162940B2 (en) | 2002-10-04 | 2012-04-24 | Covidien Ag | Vessel sealing instrument with electrical cutting mechanism |
US7799026B2 (en) | 2002-11-14 | 2010-09-21 | Covidien Ag | Compressible jaw configuration with bipolar RF output electrodes for soft tissue fusion |
US8945125B2 (en) | 2002-11-14 | 2015-02-03 | Covidien Ag | Compressible jaw configuration with bipolar RF output electrodes for soft tissue fusion |
US7776036B2 (en) | 2003-03-13 | 2010-08-17 | Covidien Ag | Bipolar concentric electrode assembly for soft tissue fusion |
US8679114B2 (en) | 2003-05-01 | 2014-03-25 | Covidien Ag | Incorporating rapid cooling in tissue fusion heating processes |
US7708735B2 (en) | 2003-05-01 | 2010-05-04 | Covidien Ag | Incorporating rapid cooling in tissue fusion heating processes |
US9149323B2 (en) | 2003-05-01 | 2015-10-06 | Covidien Ag | Method of fusing biomaterials with radiofrequency energy |
US8496656B2 (en) | 2003-05-15 | 2013-07-30 | Covidien Ag | Tissue sealer with non-conductive variable stop members and method of sealing tissue |
USRE47375E1 (en) | 2003-05-15 | 2019-05-07 | Coviden Ag | Tissue sealer with non-conductive variable stop members and method of sealing tissue |
US9492225B2 (en) | 2003-06-13 | 2016-11-15 | Covidien Ag | Vessel sealer and divider for use with small trocars and cannulas |
US7771425B2 (en) | 2003-06-13 | 2010-08-10 | Covidien Ag | Vessel sealer and divider having a variable jaw clamping mechanism |
US10918435B2 (en) | 2003-06-13 | 2021-02-16 | Covidien Ag | Vessel sealer and divider |
US8647341B2 (en) | 2003-06-13 | 2014-02-11 | Covidien Ag | Vessel sealer and divider for use with small trocars and cannulas |
US10842553B2 (en) | 2003-06-13 | 2020-11-24 | Covidien Ag | Vessel sealer and divider |
US7857812B2 (en) | 2003-06-13 | 2010-12-28 | Covidien Ag | Vessel sealer and divider having elongated knife stroke and safety for cutting mechanism |
USD956973S1 (en) | 2003-06-13 | 2022-07-05 | Covidien Ag | Movable handle for endoscopic vessel sealer and divider |
US10278772B2 (en) | 2003-06-13 | 2019-05-07 | Covidien Ag | Vessel sealer and divider |
US9848938B2 (en) | 2003-11-13 | 2017-12-26 | Covidien Ag | Compressible jaw configuration with bipolar RF output electrodes for soft tissue fusion |
US8597296B2 (en) | 2003-11-17 | 2013-12-03 | Covidien Ag | Bipolar forceps having monopolar extension |
US10441350B2 (en) | 2003-11-17 | 2019-10-15 | Covidien Ag | Bipolar forceps having monopolar extension |
US8257352B2 (en) | 2003-11-17 | 2012-09-04 | Covidien Ag | Bipolar forceps having monopolar extension |
US7922718B2 (en) | 2003-11-19 | 2011-04-12 | Covidien Ag | Open vessel sealing instrument with cutting mechanism |
US8623017B2 (en) | 2003-11-19 | 2014-01-07 | Covidien Ag | Open vessel sealing instrument with hourglass cutting mechanism and overratchet safety |
US8303586B2 (en) | 2003-11-19 | 2012-11-06 | Covidien Ag | Spring loaded reciprocating tissue cutting mechanism in a forceps-style electrosurgical instrument |
US7811283B2 (en) | 2003-11-19 | 2010-10-12 | Covidien Ag | Open vessel sealing instrument with hourglass cutting mechanism and over-ratchet safety |
US8394096B2 (en) | 2003-11-19 | 2013-03-12 | Covidien Ag | Open vessel sealing instrument with cutting mechanism |
US9980770B2 (en) | 2003-11-20 | 2018-05-29 | Covidien Ag | Electrically conductive/insulative over-shoe for tissue fusion |
US9095347B2 (en) | 2003-11-20 | 2015-08-04 | Covidien Ag | Electrically conductive/insulative over shoe for tissue fusion |
US10874418B2 (en) | 2004-02-27 | 2020-12-29 | Ethicon Llc | Ultrasonic surgical shears and method for sealing a blood vessel using same |
US11730507B2 (en) | 2004-02-27 | 2023-08-22 | Cilag Gmbh International | Ultrasonic surgical shears and method for sealing a blood vessel using same |
US8348948B2 (en) | 2004-03-02 | 2013-01-08 | Covidien Ag | Vessel sealing system using capacitive RF dielectric heating |
US9307907B2 (en) | 2004-08-25 | 2016-04-12 | CareFusion 303,Inc. | System and method for dynamically adjusting patient therapy |
US10064579B2 (en) | 2004-08-25 | 2018-09-04 | Carefusion 303, Inc. | System and method for dynamically adjusting patient therapy |
US7935052B2 (en) | 2004-09-09 | 2011-05-03 | Covidien Ag | Forceps with spring loaded end effector assembly |
US7799028B2 (en) | 2004-09-21 | 2010-09-21 | Covidien Ag | Articulating bipolar electrosurgical instrument |
US8366709B2 (en) | 2004-09-21 | 2013-02-05 | Covidien Ag | Articulating bipolar electrosurgical instrument |
US8123743B2 (en) | 2004-10-08 | 2012-02-28 | Covidien Ag | Mechanism for dividing tissue in a hemostat-style instrument |
US11006971B2 (en) | 2004-10-08 | 2021-05-18 | Ethicon Llc | Actuation mechanism for use with an ultrasonic surgical instrument |
US10537352B2 (en) | 2004-10-08 | 2020-01-21 | Ethicon Llc | Tissue pads for use with surgical instruments |
US7955332B2 (en) | 2004-10-08 | 2011-06-07 | Covidien Ag | Mechanism for dividing tissue in a hemostat-style instrument |
US7951150B2 (en) | 2005-01-14 | 2011-05-31 | Covidien Ag | Vessel sealer and divider with rotating sealer and cutter |
US7909823B2 (en) | 2005-01-14 | 2011-03-22 | Covidien Ag | Open vessel sealing instrument |
US8147489B2 (en) | 2005-01-14 | 2012-04-03 | Covidien Ag | Open vessel sealing instrument |
US9427520B2 (en) | 2005-02-11 | 2016-08-30 | Carefusion 303, Inc. | Management of pending medication orders |
US9981085B2 (en) | 2005-02-11 | 2018-05-29 | Carefusion, 303, Inc. | Management of pending medication orders |
US10668211B2 (en) | 2005-02-11 | 2020-06-02 | Carefusion 303, Inc. | Management of pending medication orders |
US11590281B2 (en) | 2005-02-11 | 2023-02-28 | Carefusion 303, Inc. | Management of pending medication orders |
US8382754B2 (en) | 2005-03-31 | 2013-02-26 | Covidien Ag | Electrosurgical forceps with slow closure sealing plates and method of sealing tissue |
US7879035B2 (en) | 2005-09-30 | 2011-02-01 | Covidien Ag | Insulating boot for electrosurgical forceps |
USRE44834E1 (en) | 2005-09-30 | 2014-04-08 | Covidien Ag | Insulating boot for electrosurgical forceps |
US8394095B2 (en) | 2005-09-30 | 2013-03-12 | Covidien Ag | Insulating boot for electrosurgical forceps |
US9549775B2 (en) | 2005-09-30 | 2017-01-24 | Covidien Ag | In-line vessel sealer and divider |
US8668689B2 (en) | 2005-09-30 | 2014-03-11 | Covidien Ag | In-line vessel sealer and divider |
US7722607B2 (en) | 2005-09-30 | 2010-05-25 | Covidien Ag | In-line vessel sealer and divider |
US8641713B2 (en) | 2005-09-30 | 2014-02-04 | Covidien Ag | Flexible endoscopic catheter with ligasure |
US8197633B2 (en) | 2005-09-30 | 2012-06-12 | Covidien Ag | Method for manufacturing an end effector assembly |
US7846161B2 (en) | 2005-09-30 | 2010-12-07 | Covidien Ag | Insulating boot for electrosurgical forceps |
US7922953B2 (en) | 2005-09-30 | 2011-04-12 | Covidien Ag | Method for manufacturing an end effector assembly |
US9579145B2 (en) | 2005-09-30 | 2017-02-28 | Covidien Ag | Flexible endoscopic catheter with ligasure |
US8361072B2 (en) | 2005-09-30 | 2013-01-29 | Covidien Ag | Insulating boot for electrosurgical forceps |
US7789878B2 (en) | 2005-09-30 | 2010-09-07 | Covidien Ag | In-line vessel sealer and divider |
US10856896B2 (en) | 2005-10-14 | 2020-12-08 | Ethicon Llc | Ultrasonic device for cutting and coagulating |
US11998229B2 (en) | 2005-10-14 | 2024-06-04 | Cilag Gmbh International | Ultrasonic device for cutting and coagulating |
US12042168B2 (en) | 2006-01-20 | 2024-07-23 | Cilag Gmbh International | Ultrasound medical instrument having a medical ultrasonic blade |
US10779848B2 (en) | 2006-01-20 | 2020-09-22 | Ethicon Llc | Ultrasound medical instrument having a medical ultrasonic blade |
US8298232B2 (en) | 2006-01-24 | 2012-10-30 | Tyco Healthcare Group Lp | Endoscopic vessel sealer and divider for large tissue structures |
US9918782B2 (en) | 2006-01-24 | 2018-03-20 | Covidien Lp | Endoscopic vessel sealer and divider for large tissue structures |
US9113903B2 (en) | 2006-01-24 | 2015-08-25 | Covidien Lp | Endoscopic vessel sealer and divider for large tissue structures |
US9539053B2 (en) | 2006-01-24 | 2017-01-10 | Covidien Lp | Vessel sealer and divider for large tissue structures |
US8734443B2 (en) | 2006-01-24 | 2014-05-27 | Covidien Lp | Vessel sealer and divider for large tissue structures |
US8882766B2 (en) | 2006-01-24 | 2014-11-11 | Covidien Ag | Method and system for controlling delivery of energy to divide tissue |
US8241282B2 (en) | 2006-01-24 | 2012-08-14 | Tyco Healthcare Group Lp | Vessel sealing cutting assemblies |
US20070198005A1 (en) * | 2006-02-22 | 2007-08-23 | Hiroshi Ichihashi | Coagulating cutter |
US7645278B2 (en) * | 2006-02-22 | 2010-01-12 | Olympus Corporation | Coagulating cutter |
US7776037B2 (en) | 2006-07-07 | 2010-08-17 | Covidien Ag | System and method for controlling electrode gap during tissue sealing |
US20100312242A1 (en) * | 2006-07-07 | 2010-12-09 | Darren Odom | System and Method for Controlling Electrode Gap During Tissue Sealing |
US8128625B2 (en) | 2006-07-07 | 2012-03-06 | Covidien Ag | System and method for controlling electrode gap during tissue sealing |
US8597297B2 (en) | 2006-08-29 | 2013-12-03 | Covidien Ag | Vessel sealing instrument with multiple electrode configurations |
US8425504B2 (en) | 2006-10-03 | 2013-04-23 | Covidien Lp | Radiofrequency fusion of cardiac tissue |
US8070746B2 (en) | 2006-10-03 | 2011-12-06 | Tyco Healthcare Group Lp | Radiofrequency fusion of cardiac tissue |
USD649249S1 (en) | 2007-02-15 | 2011-11-22 | Tyco Healthcare Group Lp | End effectors of an elongated dissecting and dividing instrument |
US10828057B2 (en) | 2007-03-22 | 2020-11-10 | Ethicon Llc | Ultrasonic surgical instruments |
US10722261B2 (en) | 2007-03-22 | 2020-07-28 | Ethicon Llc | Surgical instruments |
US8267935B2 (en) | 2007-04-04 | 2012-09-18 | Tyco Healthcare Group Lp | Electrosurgical instrument reducing current densities at an insulator conductor junction |
US20080249527A1 (en) * | 2007-04-04 | 2008-10-09 | Tyco Healthcare Group Lp | Electrosurgical instrument reducing current densities at an insulator conductor junction |
US11690641B2 (en) | 2007-07-27 | 2023-07-04 | Cilag Gmbh International | Ultrasonic end effectors with increased active length |
US11607268B2 (en) | 2007-07-27 | 2023-03-21 | Cilag Gmbh International | Surgical instruments |
US10398466B2 (en) | 2007-07-27 | 2019-09-03 | Ethicon Llc | Ultrasonic end effectors with increased active length |
US10531910B2 (en) | 2007-07-27 | 2020-01-14 | Ethicon Llc | Surgical instruments |
US10420579B2 (en) | 2007-07-31 | 2019-09-24 | Ethicon Llc | Surgical instruments |
US10426507B2 (en) | 2007-07-31 | 2019-10-01 | Ethicon Llc | Ultrasonic surgical instruments |
US11058447B2 (en) | 2007-07-31 | 2021-07-13 | Cilag Gmbh International | Temperature controlled ultrasonic surgical instruments |
US11666784B2 (en) | 2007-07-31 | 2023-06-06 | Cilag Gmbh International | Surgical instruments |
US11877734B2 (en) | 2007-07-31 | 2024-01-23 | Cilag Gmbh International | Ultrasonic surgical instruments |
US7877852B2 (en) | 2007-09-20 | 2011-02-01 | Tyco Healthcare Group Lp | Method of manufacturing an end effector assembly for sealing tissue |
US7877853B2 (en) | 2007-09-20 | 2011-02-01 | Tyco Healthcare Group Lp | Method of manufacturing end effector assembly for sealing tissue |
US9023043B2 (en) | 2007-09-28 | 2015-05-05 | Covidien Lp | Insulating mechanically-interfaced boot and jaws for electrosurgical forceps |
US8267936B2 (en) | 2007-09-28 | 2012-09-18 | Tyco Healthcare Group Lp | Insulating mechanically-interfaced adhesive for electrosurgical forceps |
US8236025B2 (en) | 2007-09-28 | 2012-08-07 | Tyco Healthcare Group Lp | Silicone insulated electrosurgical forceps |
US9554841B2 (en) | 2007-09-28 | 2017-01-31 | Covidien Lp | Dual durometer insulating boot for electrosurgical forceps |
US8696667B2 (en) | 2007-09-28 | 2014-04-15 | Covidien Lp | Dual durometer insulating boot for electrosurgical forceps |
US8251996B2 (en) | 2007-09-28 | 2012-08-28 | Tyco Healthcare Group Lp | Insulating sheath for electrosurgical forceps |
US8241283B2 (en) | 2007-09-28 | 2012-08-14 | Tyco Healthcare Group Lp | Dual durometer insulating boot for electrosurgical forceps |
US8221416B2 (en) | 2007-09-28 | 2012-07-17 | Tyco Healthcare Group Lp | Insulating boot for electrosurgical forceps with thermoplastic clevis |
US8235992B2 (en) | 2007-09-28 | 2012-08-07 | Tyco Healthcare Group Lp | Insulating boot with mechanical reinforcement for electrosurgical forceps |
US8235993B2 (en) | 2007-09-28 | 2012-08-07 | Tyco Healthcare Group Lp | Insulating boot for electrosurgical forceps with exohinged structure |
US10828059B2 (en) | 2007-10-05 | 2020-11-10 | Ethicon Llc | Ergonomic surgical instruments |
US11690643B2 (en) | 2007-11-30 | 2023-07-04 | Cilag Gmbh International | Ultrasonic surgical blades |
US11766276B2 (en) | 2007-11-30 | 2023-09-26 | Cilag Gmbh International | Ultrasonic surgical blades |
US10888347B2 (en) | 2007-11-30 | 2021-01-12 | Ethicon Llc | Ultrasonic surgical blades |
US10245065B2 (en) | 2007-11-30 | 2019-04-02 | Ethicon Llc | Ultrasonic surgical blades |
US10265094B2 (en) | 2007-11-30 | 2019-04-23 | Ethicon Llc | Ultrasonic surgical blades |
US11253288B2 (en) | 2007-11-30 | 2022-02-22 | Cilag Gmbh International | Ultrasonic surgical instrument blades |
US10463887B2 (en) | 2007-11-30 | 2019-11-05 | Ethicon Llc | Ultrasonic surgical blades |
US11439426B2 (en) | 2007-11-30 | 2022-09-13 | Cilag Gmbh International | Ultrasonic surgical blades |
US10433866B2 (en) | 2007-11-30 | 2019-10-08 | Ethicon Llc | Ultrasonic surgical blades |
US11266433B2 (en) | 2007-11-30 | 2022-03-08 | Cilag Gmbh International | Ultrasonic surgical instrument blades |
US10441308B2 (en) | 2007-11-30 | 2019-10-15 | Ethicon Llc | Ultrasonic surgical instrument blades |
US10433865B2 (en) | 2007-11-30 | 2019-10-08 | Ethicon Llc | Ultrasonic surgical blades |
US8256080B2 (en) | 2008-01-28 | 2012-09-04 | Tyco Healthcare Group Lp | System and method for manufacturing a medical instrument |
US8764748B2 (en) | 2008-02-06 | 2014-07-01 | Covidien Lp | End effector assembly for electrosurgical device and method for making the same |
US8623276B2 (en) | 2008-02-15 | 2014-01-07 | Covidien Lp | Method and system for sterilizing an electrosurgical instrument |
US11660136B2 (en) | 2008-03-31 | 2023-05-30 | Applied Medical Resources Corporation | Electrosurgical system |
US10888371B2 (en) | 2008-03-31 | 2021-01-12 | Applied Medical Resources Corporation | Electrosurgical system |
US10342604B2 (en) | 2008-03-31 | 2019-07-09 | Applied Medical Resources Corporation | Electrosurgical system |
US8562598B2 (en) | 2008-03-31 | 2013-10-22 | Applied Medical Resources Corporation | Electrosurgical system |
US8551088B2 (en) | 2008-03-31 | 2013-10-08 | Applied Medical Resources Corporation | Electrosurgical system |
US8568411B2 (en) | 2008-03-31 | 2013-10-29 | Applied Medical Resources Corporation | Electrosurgical system |
US9566108B2 (en) | 2008-03-31 | 2017-02-14 | Applied Medical Resources Corporation | Electrosurgical system |
US8579894B2 (en) | 2008-03-31 | 2013-11-12 | Applied Medical Resources Corporation | Electrosurgical system |
US8915910B2 (en) | 2008-03-31 | 2014-12-23 | Applied Medical Resources Corporation | Electrosurgical system |
US9113905B2 (en) | 2008-07-21 | 2015-08-25 | Covidien Lp | Variable resistor jaw |
US9247988B2 (en) | 2008-07-21 | 2016-02-02 | Covidien Lp | Variable resistor jaw |
US8469956B2 (en) | 2008-07-21 | 2013-06-25 | Covidien Lp | Variable resistor jaw |
US11890491B2 (en) | 2008-08-06 | 2024-02-06 | Cilag Gmbh International | Devices and techniques for cutting and coagulating tissue |
US10335614B2 (en) | 2008-08-06 | 2019-07-02 | Ethicon Llc | Devices and techniques for cutting and coagulating tissue |
US8162973B2 (en) | 2008-08-15 | 2012-04-24 | Tyco Healthcare Group Lp | Method of transferring pressure in an articulating surgical instrument |
US8257387B2 (en) | 2008-08-15 | 2012-09-04 | Tyco Healthcare Group Lp | Method of transferring pressure in an articulating surgical instrument |
US9603652B2 (en) | 2008-08-21 | 2017-03-28 | Covidien Lp | Electrosurgical instrument including a sensor |
US8784417B2 (en) | 2008-08-28 | 2014-07-22 | Covidien Lp | Tissue fusion jaw angle improvement |
US8795274B2 (en) | 2008-08-28 | 2014-08-05 | Covidien Lp | Tissue fusion jaw angle improvement |
US8317787B2 (en) | 2008-08-28 | 2012-11-27 | Covidien Lp | Tissue fusion jaw angle improvement |
US8303582B2 (en) | 2008-09-15 | 2012-11-06 | Tyco Healthcare Group Lp | Electrosurgical instrument having a coated electrode utilizing an atomic layer deposition technique |
US8535312B2 (en) | 2008-09-25 | 2013-09-17 | Covidien Lp | Apparatus, system and method for performing an electrosurgical procedure |
US9375254B2 (en) | 2008-09-25 | 2016-06-28 | Covidien Lp | Seal and separate algorithm |
US8968314B2 (en) | 2008-09-25 | 2015-03-03 | Covidien Lp | Apparatus, system and method for performing an electrosurgical procedure |
US8142473B2 (en) | 2008-10-03 | 2012-03-27 | Tyco Healthcare Group Lp | Method of transferring rotational motion in an articulating surgical instrument |
US8568444B2 (en) | 2008-10-03 | 2013-10-29 | Covidien Lp | Method of transferring rotational motion in an articulating surgical instrument |
US8469957B2 (en) | 2008-10-07 | 2013-06-25 | Covidien Lp | Apparatus, system, and method for performing an electrosurgical procedure |
US9113898B2 (en) | 2008-10-09 | 2015-08-25 | Covidien Lp | Apparatus, system, and method for performing an electrosurgical procedure |
US8636761B2 (en) | 2008-10-09 | 2014-01-28 | Covidien Lp | Apparatus, system, and method for performing an endoscopic electrosurgical procedure |
US8016827B2 (en) | 2008-10-09 | 2011-09-13 | Tyco Healthcare Group Lp | Apparatus, system, and method for performing an electrosurgical procedure |
US8486107B2 (en) | 2008-10-20 | 2013-07-16 | Covidien Lp | Method of sealing tissue using radiofrequency energy |
US8302948B2 (en) * | 2008-11-21 | 2012-11-06 | Raytheon Company | Test fixture with high-current electrical connection |
US20100130073A1 (en) * | 2008-11-21 | 2010-05-27 | Hobson Michael A | Test fixture with high-current electrical connection |
US8197479B2 (en) | 2008-12-10 | 2012-06-12 | Tyco Healthcare Group Lp | Vessel sealer and divider |
US9655674B2 (en) | 2009-01-13 | 2017-05-23 | Covidien Lp | Apparatus, system and method for performing an electrosurgical procedure |
US8852228B2 (en) | 2009-01-13 | 2014-10-07 | Covidien Lp | Apparatus, system, and method for performing an electrosurgical procedure |
US20100179546A1 (en) * | 2009-01-14 | 2010-07-15 | Tyco Healthcare Group Lp | Apparatus, System, and Method for Performing an Electrosurgical Procedure |
US8632564B2 (en) * | 2009-01-14 | 2014-01-21 | Covidien Lp | Apparatus, system, and method for performing an electrosurgical procedure |
US8454602B2 (en) | 2009-05-07 | 2013-06-04 | Covidien Lp | Apparatus, system, and method for performing an electrosurgical procedure |
US9345535B2 (en) | 2009-05-07 | 2016-05-24 | Covidien Lp | Apparatus, system and method for performing an electrosurgical procedure |
US20100286691A1 (en) * | 2009-05-07 | 2010-11-11 | Tyco Healthcare Group Lp | Apparatus, System, and Method for Performing an Electrosurgical Procedure |
US10085794B2 (en) | 2009-05-07 | 2018-10-02 | Covidien Lp | Apparatus, system and method for performing an electrosurgical procedure |
US8858554B2 (en) | 2009-05-07 | 2014-10-14 | Covidien Lp | Apparatus, system, and method for performing an electrosurgical procedure |
US8187273B2 (en) | 2009-05-07 | 2012-05-29 | Tyco Healthcare Group Lp | Apparatus, system, and method for performing an electrosurgical procedure |
US10709906B2 (en) | 2009-05-20 | 2020-07-14 | Ethicon Llc | Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments |
US8523898B2 (en) | 2009-07-08 | 2013-09-03 | Covidien Lp | Endoscopic electrosurgical jaws with offset knife |
US11717706B2 (en) | 2009-07-15 | 2023-08-08 | Cilag Gmbh International | Ultrasonic surgical instruments |
US10688321B2 (en) | 2009-07-15 | 2020-06-23 | Ethicon Llc | Ultrasonic surgical instruments |
US9028493B2 (en) | 2009-09-18 | 2015-05-12 | Covidien Lp | In vivo attachable and detachable end effector assembly and laparoscopic surgical instrument and methods therefor |
US9931131B2 (en) | 2009-09-18 | 2018-04-03 | Covidien Lp | In vivo attachable and detachable end effector assembly and laparoscopic surgical instrument and methods therefor |
US11490955B2 (en) | 2009-09-28 | 2022-11-08 | Covidien Lp | Electrosurgical seal plates |
US8898888B2 (en) | 2009-09-28 | 2014-12-02 | Covidien Lp | System for manufacturing electrosurgical seal plates |
US11026741B2 (en) | 2009-09-28 | 2021-06-08 | Covidien Lp | Electrosurgical seal plates |
US9750561B2 (en) | 2009-09-28 | 2017-09-05 | Covidien Lp | System for manufacturing electrosurgical seal plates |
US9265552B2 (en) | 2009-09-28 | 2016-02-23 | Covidien Lp | Method of manufacturing electrosurgical seal plates |
US10188454B2 (en) | 2009-09-28 | 2019-01-29 | Covidien Lp | System for manufacturing electrosurgical seal plates |
US10172669B2 (en) | 2009-10-09 | 2019-01-08 | Ethicon Llc | Surgical instrument comprising an energy trigger lockout |
US11871982B2 (en) | 2009-10-09 | 2024-01-16 | Cilag Gmbh International | Surgical generator for ultrasonic and electrosurgical devices |
US11090104B2 (en) | 2009-10-09 | 2021-08-17 | Cilag Gmbh International | Surgical generator for ultrasonic and electrosurgical devices |
US10201382B2 (en) | 2009-10-09 | 2019-02-12 | Ethicon Llc | Surgical generator for ultrasonic and electrosurgical devices |
US10265117B2 (en) | 2009-10-09 | 2019-04-23 | Ethicon Llc | Surgical generator method for controlling and ultrasonic transducer waveform for ultrasonic and electrosurgical devices |
US10441345B2 (en) | 2009-10-09 | 2019-10-15 | Ethicon Llc | Surgical generator for ultrasonic and electrosurgical devices |
US11369402B2 (en) | 2010-02-11 | 2022-06-28 | Cilag Gmbh International | Control systems for ultrasonically powered surgical instruments |
US10835768B2 (en) | 2010-02-11 | 2020-11-17 | Ethicon Llc | Dual purpose surgical instrument for cutting and coagulating tissue |
US10117667B2 (en) | 2010-02-11 | 2018-11-06 | Ethicon Llc | Control systems for ultrasonically powered surgical instruments |
US11382642B2 (en) | 2010-02-11 | 2022-07-12 | Cilag Gmbh International | Rotatable cutting implements with friction reducing material for ultrasonic surgical instruments |
US10299810B2 (en) | 2010-02-11 | 2019-05-28 | Ethicon Llc | Rotatable cutting implements with friction reducing material for ultrasonic surgical instruments |
US9808308B2 (en) | 2010-04-12 | 2017-11-07 | Ethicon Llc | Electrosurgical cutting and sealing instruments with cam-actuated jaws |
US9610091B2 (en) | 2010-04-12 | 2017-04-04 | Ethicon Endo-Surgery, Llc | Electrosurgical cutting and sealing instruments with jaws having a parallel closure motion |
US9456864B2 (en) | 2010-05-17 | 2016-10-04 | Ethicon Endo-Surgery, Llc | Surgical instruments and end effectors therefor |
US11090103B2 (en) | 2010-05-21 | 2021-08-17 | Cilag Gmbh International | Medical device |
US9737358B2 (en) | 2010-06-10 | 2017-08-22 | Ethicon Llc | Heat management configurations for controlling heat dissipation from electrosurgical instruments |
US10292846B2 (en) | 2010-07-21 | 2019-05-21 | Cook Medical Technologies Llc | Control system for a stent delivery system |
US10278721B2 (en) | 2010-07-22 | 2019-05-07 | Ethicon Llc | Electrosurgical instrument with separate closure and cutting members |
US10524854B2 (en) | 2010-07-23 | 2020-01-07 | Ethicon Llc | Surgical instrument |
US9498278B2 (en) | 2010-09-08 | 2016-11-22 | Covidien Lp | Asymmetrical electrodes for bipolar vessel sealing |
US9814518B2 (en) | 2010-09-08 | 2017-11-14 | Covidien Lp | Asymmetrical electrodes for bipolar vessel sealing |
US9005200B2 (en) * | 2010-09-30 | 2015-04-14 | Covidien Lp | Vessel sealing instrument |
US20120083785A1 (en) * | 2010-09-30 | 2012-04-05 | Roy Jeffrey M | Vessel Sealing Instrument |
US9974600B2 (en) | 2010-09-30 | 2018-05-22 | Covidien Lp | Vessel sealing instrument |
US10806505B2 (en) | 2010-09-30 | 2020-10-20 | Covidien Lp | Vessel sealing instrument |
US9707030B2 (en) | 2010-10-01 | 2017-07-18 | Ethicon Endo-Surgery, Llc | Surgical instrument with jaw member |
US9320563B2 (en) | 2010-10-01 | 2016-04-26 | Applied Medical Resources Corporation | Electrosurgical instruments and connections thereto |
US10874452B2 (en) | 2010-10-01 | 2020-12-29 | Applied Medical Resources Corporation | Electrosurgical instruments and connections thereto |
US9962222B2 (en) | 2010-10-01 | 2018-05-08 | Applied Medical Resources Corporation | Electrosurgical instruments and connections thereto |
US11864823B2 (en) | 2010-10-01 | 2024-01-09 | Applied Medical Resources Corporation | Electrosurgical instruments and connections thereto |
US9554846B2 (en) | 2010-10-01 | 2017-01-31 | Ethicon Endo-Surgery, Llc | Surgical instrument with jaw member |
US10383649B2 (en) | 2011-01-14 | 2019-08-20 | Covidien Lp | Trigger lockout and kickback mechanism for surgical instruments |
US11660108B2 (en) | 2011-01-14 | 2023-05-30 | Covidien Lp | Trigger lockout and kickback mechanism for surgical instruments |
US9113940B2 (en) | 2011-01-14 | 2015-08-25 | Covidien Lp | Trigger lockout and kickback mechanism for surgical instruments |
US11366781B2 (en) | 2011-03-17 | 2022-06-21 | Carefusion 303, Inc. | Scalable communication system |
US10353856B2 (en) | 2011-03-17 | 2019-07-16 | Carefusion 303, Inc. | Scalable communication system |
US11734222B2 (en) | 2011-03-17 | 2023-08-22 | Carefusion 303, Inc. | Scalable communication system |
US10983946B2 (en) | 2011-03-17 | 2021-04-20 | Carefusion 303, Inc. | Scalable communication system |
US8974479B2 (en) | 2011-03-30 | 2015-03-10 | Covidien Lp | Ultrasonic surgical instruments |
US9351755B2 (en) | 2011-03-30 | 2016-05-31 | Covidien Lp | Ultrasonic surgical instruments |
WO2012158788A1 (en) | 2011-05-16 | 2012-11-22 | Tyco Healthcare Group Lp | Apparatus for optical tissue sealing |
WO2012158774A1 (en) | 2011-05-16 | 2012-11-22 | Tyco Healthcare Group Lp | Optical recognition of tissue and vessels |
WO2012158777A1 (en) | 2011-05-16 | 2012-11-22 | Tyco Healthcare Group Lp | System for energy-based sealing of tissue with optical feedback |
EP3034027A1 (en) | 2011-05-16 | 2016-06-22 | Covidien LP | Apparatus for optical tissue sealing |
US10433900B2 (en) | 2011-07-22 | 2019-10-08 | Ethicon Llc | Surgical instruments for tensioning tissue |
US10166060B2 (en) | 2011-08-30 | 2019-01-01 | Ethicon Llc | Surgical instruments comprising a trigger assembly |
US9421060B2 (en) | 2011-10-24 | 2016-08-23 | Ethicon Endo-Surgery, Llc | Litz wire battery powered device |
US10779876B2 (en) | 2011-10-24 | 2020-09-22 | Ethicon Llc | Battery powered surgical instrument |
USD680220S1 (en) | 2012-01-12 | 2013-04-16 | Coviden IP | Slider handle for laparoscopic device |
US10639095B2 (en) | 2012-01-25 | 2020-05-05 | Covidien Lp | Surgical instrument with resilient driving member and related methods of use |
US9504514B2 (en) | 2012-01-25 | 2016-11-29 | Covidien Lp | Surgical instrument with resilient driving member and related methods of use |
US8968360B2 (en) | 2012-01-25 | 2015-03-03 | Covidien Lp | Surgical instrument with resilient driving member and related methods of use |
US9974605B2 (en) | 2012-01-25 | 2018-05-22 | Covidien Lp | Surgical instrument with resilient driving member and related methods of use |
US11324545B2 (en) | 2012-01-25 | 2022-05-10 | Covidien Lp | Surgical instrument with resilient driving member and related methods of use |
US10729494B2 (en) | 2012-02-10 | 2020-08-04 | Ethicon Llc | Robotically controlled surgical instrument |
US10327834B2 (en) | 2012-03-06 | 2019-06-25 | Covidien Lp | Surgical tissue sealer |
US9211657B2 (en) | 2012-03-06 | 2015-12-15 | Covidien Lp | Surgical tissue sealer |
US8752264B2 (en) | 2012-03-06 | 2014-06-17 | Covidien Lp | Surgical tissue sealer |
USD799038S1 (en) | 2012-03-08 | 2017-10-03 | Covidien Lp | Handle for laparoscopic device |
USD743547S1 (en) | 2012-03-08 | 2015-11-17 | Covidien Lp | Handle for laparoscopic device with distal rotation wheel |
USD744100S1 (en) | 2012-03-08 | 2015-11-24 | Covidien Lp | Handle for laparoscopic device |
USD748260S1 (en) | 2012-03-08 | 2016-01-26 | Covidien Lp | Handle for laparoscopic device with integral rotation wheel |
US11419626B2 (en) | 2012-04-09 | 2022-08-23 | Cilag Gmbh International | Switch arrangements for ultrasonic surgical instruments |
US10517627B2 (en) | 2012-04-09 | 2019-12-31 | Ethicon Llc | Switch arrangements for ultrasonic surgical instruments |
US20130304063A1 (en) * | 2012-04-18 | 2013-11-14 | Uwe Bacher | Micro-Invasive Medical Instrument |
US9757102B2 (en) * | 2012-04-18 | 2017-09-12 | Karl Storz Gmbh & Co. Kg | Micro-invasive medical instrument |
US9668807B2 (en) | 2012-05-01 | 2017-06-06 | Covidien Lp | Simplified spring load mechanism for delivering shaft force of a surgical instrument |
US9820765B2 (en) | 2012-05-01 | 2017-11-21 | Covidien Lp | Surgical instrument with stamped double-flange jaws |
US9861378B2 (en) | 2012-05-01 | 2018-01-09 | Covidien Lp | Surgical instrument with stamped double-flange jaws |
US10588651B2 (en) | 2012-05-01 | 2020-03-17 | Covidien Lp | Surgical instrument with stamped double-flange jaws |
US12059166B2 (en) | 2012-05-01 | 2024-08-13 | Covidien Lp | Surgical instrument for treating tissue |
US9974604B2 (en) | 2012-05-29 | 2018-05-22 | Covidien Lp | Lever latch assemblies for surgical instruments |
US9192432B2 (en) | 2012-05-29 | 2015-11-24 | Covidien Lp | Lever latch assemblies for surgical improvements |
US8679140B2 (en) | 2012-05-30 | 2014-03-25 | Covidien Lp | Surgical clamping device with ratcheting grip lock |
US10987123B2 (en) | 2012-06-28 | 2021-04-27 | Ethicon Llc | Surgical instruments with articulating shafts |
US11839420B2 (en) | 2012-06-28 | 2023-12-12 | Cilag Gmbh International | Stapling assembly comprising a firing member push tube |
US11547465B2 (en) | 2012-06-28 | 2023-01-10 | Cilag Gmbh International | Surgical end effector jaw and electrode configurations |
US11523859B2 (en) | 2012-06-28 | 2022-12-13 | Cilag Gmbh International | Surgical instrument assembly including a removably attachable end effector |
US10966747B2 (en) | 2012-06-29 | 2021-04-06 | Ethicon Llc | Haptic feedback devices for surgical robot |
US11583306B2 (en) | 2012-06-29 | 2023-02-21 | Cilag Gmbh International | Surgical instruments with articulating shafts |
US11602371B2 (en) | 2012-06-29 | 2023-03-14 | Cilag Gmbh International | Ultrasonic surgical instruments with control mechanisms |
US10524872B2 (en) | 2012-06-29 | 2020-01-07 | Ethicon Llc | Closed feedback control for electrosurgical device |
US10543008B2 (en) | 2012-06-29 | 2020-01-28 | Ethicon Llc | Ultrasonic surgical instruments with distally positioned jaw assemblies |
US10993763B2 (en) | 2012-06-29 | 2021-05-04 | Ethicon Llc | Lockout mechanism for use with robotic electrosurgical device |
US11871955B2 (en) | 2012-06-29 | 2024-01-16 | Cilag Gmbh International | Surgical instruments with articulating shafts |
US11717311B2 (en) | 2012-06-29 | 2023-08-08 | Cilag Gmbh International | Surgical instruments with articulating shafts |
US10335182B2 (en) | 2012-06-29 | 2019-07-02 | Ethicon Llc | Surgical instruments with articulating shafts |
US10441310B2 (en) | 2012-06-29 | 2019-10-15 | Ethicon Llc | Surgical instruments with curved section |
US10842580B2 (en) | 2012-06-29 | 2020-11-24 | Ethicon Llc | Ultrasonic surgical instruments with control mechanisms |
US11426191B2 (en) | 2012-06-29 | 2022-08-30 | Cilag Gmbh International | Ultrasonic surgical instruments with distally positioned jaw assemblies |
US11096752B2 (en) | 2012-06-29 | 2021-08-24 | Cilag Gmbh International | Closed feedback control for electrosurgical device |
US10779845B2 (en) | 2012-06-29 | 2020-09-22 | Ethicon Llc | Ultrasonic surgical instruments with distally positioned transducers |
US10335183B2 (en) | 2012-06-29 | 2019-07-02 | Ethicon Llc | Feedback devices for surgical control systems |
US10062457B2 (en) | 2012-07-26 | 2018-08-28 | Carefusion 303, Inc. | Predictive notifications for adverse patient events |
US10881449B2 (en) | 2012-09-28 | 2021-01-05 | Ethicon Llc | Multi-function bi-polar forceps |
US9839471B2 (en) | 2012-10-16 | 2017-12-12 | Covidien Lp | Surgical instrument |
US9265566B2 (en) | 2012-10-16 | 2016-02-23 | Covidien Lp | Surgical instrument |
US11179173B2 (en) | 2012-10-22 | 2021-11-23 | Cilag Gmbh International | Surgical instrument |
US11324527B2 (en) | 2012-11-15 | 2022-05-10 | Cilag Gmbh International | Ultrasonic and electrosurgical devices |
US11182728B2 (en) | 2013-01-30 | 2021-11-23 | Carefusion 303, Inc. | Medication workflow management |
US10029047B2 (en) | 2013-03-13 | 2018-07-24 | Carefusion 303, Inc. | Patient-specific medication management system |
US10867265B2 (en) | 2013-03-13 | 2020-12-15 | Carefusion 303, Inc. | Predictive medication safety |
US10937530B2 (en) | 2013-03-13 | 2021-03-02 | Carefusion 303, Inc. | Patient-specific medication management system |
US12001981B2 (en) | 2013-03-13 | 2024-06-04 | Carefusion 303, Inc. | Predictive medication safety |
US11615871B2 (en) | 2013-03-13 | 2023-03-28 | Carefusion 303, Inc. | Patient-specific medication management system |
US11272952B2 (en) | 2013-03-14 | 2022-03-15 | Cilag Gmbh International | Mechanical fasteners for use with surgical energy devices |
US10226273B2 (en) | 2013-03-14 | 2019-03-12 | Ethicon Llc | Mechanical fasteners for use with surgical energy devices |
US12079742B2 (en) | 2013-05-22 | 2024-09-03 | Carefusion 303, Inc. | Medication workflow management |
US10430554B2 (en) | 2013-05-23 | 2019-10-01 | Carefusion 303, Inc. | Medication preparation queue |
US10646267B2 (en) | 2013-08-07 | 2020-05-12 | Covidien LLP | Surgical forceps |
US9295514B2 (en) | 2013-08-30 | 2016-03-29 | Ethicon Endo-Surgery, Llc | Surgical devices with close quarter articulation features |
US9814514B2 (en) | 2013-09-13 | 2017-11-14 | Ethicon Llc | Electrosurgical (RF) medical instruments for cutting and coagulating tissue |
US10925659B2 (en) | 2013-09-13 | 2021-02-23 | Ethicon Llc | Electrosurgical (RF) medical instruments for cutting and coagulating tissue |
USD788302S1 (en) | 2013-10-01 | 2017-05-30 | Covidien Lp | Knife for endoscopic electrosurgical forceps |
US9949788B2 (en) | 2013-11-08 | 2018-04-24 | Ethicon Endo-Surgery, Llc | Electrosurgical devices |
US10912603B2 (en) | 2013-11-08 | 2021-02-09 | Ethicon Llc | Electrosurgical devices |
US10349949B2 (en) | 2013-12-02 | 2019-07-16 | National Cancer Center | Closed loop-type hemostatic clipping device having built-in inner pincers |
US11033292B2 (en) | 2013-12-16 | 2021-06-15 | Cilag Gmbh International | Medical device |
US10912580B2 (en) | 2013-12-16 | 2021-02-09 | Ethicon Llc | Medical device |
US10856929B2 (en) | 2014-01-07 | 2020-12-08 | Ethicon Llc | Harvesting energy from a surgical generator |
US9795436B2 (en) | 2014-01-07 | 2017-10-24 | Ethicon Llc | Harvesting energy from a surgical generator |
US9408660B2 (en) | 2014-01-17 | 2016-08-09 | Ethicon Endo-Surgery, Llc | Device trigger dampening mechanism |
US10932847B2 (en) | 2014-03-18 | 2021-03-02 | Ethicon Llc | Detecting short circuits in electrosurgical medical devices |
US9554854B2 (en) | 2014-03-18 | 2017-01-31 | Ethicon Endo-Surgery, Llc | Detecting short circuits in electrosurgical medical devices |
US10779879B2 (en) | 2014-03-18 | 2020-09-22 | Ethicon Llc | Detecting short circuits in electrosurgical medical devices |
US10463421B2 (en) | 2014-03-27 | 2019-11-05 | Ethicon Llc | Two stage trigger, clamp and cut bipolar vessel sealer |
US10092310B2 (en) | 2014-03-27 | 2018-10-09 | Ethicon Llc | Electrosurgical devices |
US11399855B2 (en) | 2014-03-27 | 2022-08-02 | Cilag Gmbh International | Electrosurgical devices |
US10524852B1 (en) | 2014-03-28 | 2020-01-07 | Ethicon Llc | Distal sealing end effector with spacers |
US11471209B2 (en) | 2014-03-31 | 2022-10-18 | Cilag Gmbh International | Controlling impedance rise in electrosurgical medical devices |
US9737355B2 (en) | 2014-03-31 | 2017-08-22 | Ethicon Llc | Controlling impedance rise in electrosurgical medical devices |
US10349999B2 (en) | 2014-03-31 | 2019-07-16 | Ethicon Llc | Controlling impedance rise in electrosurgical medical devices |
US9913680B2 (en) | 2014-04-15 | 2018-03-13 | Ethicon Llc | Software algorithms for electrosurgical instruments |
US11337747B2 (en) | 2014-04-15 | 2022-05-24 | Cilag Gmbh International | Software algorithms for electrosurgical instruments |
US9757186B2 (en) | 2014-04-17 | 2017-09-12 | Ethicon Llc | Device status feedback for bipolar tissue spacer |
US10149713B2 (en) | 2014-05-16 | 2018-12-11 | Applied Medical Resources Corporation | Electrosurgical system |
US11672589B2 (en) | 2014-05-16 | 2023-06-13 | Applied Medical Resources Corporation | Electrosurgical system |
US10792092B2 (en) | 2014-05-30 | 2020-10-06 | Applied Medical Resources Corporation | Electrosurgical seal and dissection systems |
US9700333B2 (en) | 2014-06-30 | 2017-07-11 | Ethicon Llc | Surgical instrument with variable tissue compression |
US10285724B2 (en) | 2014-07-31 | 2019-05-14 | Ethicon Llc | Actuation mechanisms and load adjustment assemblies for surgical instruments |
US11413060B2 (en) | 2014-07-31 | 2022-08-16 | Cilag Gmbh International | Actuation mechanisms and load adjustment assemblies for surgical instruments |
US10194976B2 (en) | 2014-08-25 | 2019-02-05 | Ethicon Llc | Lockout disabling mechanism |
US9877776B2 (en) | 2014-08-25 | 2018-01-30 | Ethicon Llc | Simultaneous I-beam and spring driven cam jaw closure mechanism |
US10231777B2 (en) | 2014-08-26 | 2019-03-19 | Covidien Lp | Methods of manufacturing jaw members of an end-effector assembly for a surgical instrument |
US10194972B2 (en) | 2014-08-26 | 2019-02-05 | Ethicon Llc | Managing tissue treatment |
US10639092B2 (en) | 2014-12-08 | 2020-05-05 | Ethicon Llc | Electrode configurations for surgical instruments |
US9848937B2 (en) | 2014-12-22 | 2017-12-26 | Ethicon Llc | End effector with detectable configurations |
US10111699B2 (en) | 2014-12-22 | 2018-10-30 | Ethicon Llc | RF tissue sealer, shear grip, trigger lock mechanism and energy activation |
US10159524B2 (en) | 2014-12-22 | 2018-12-25 | Ethicon Llc | High power battery powered RF amplifier topology |
US10751109B2 (en) | 2014-12-22 | 2020-08-25 | Ethicon Llc | High power battery powered RF amplifier topology |
US10092348B2 (en) | 2014-12-22 | 2018-10-09 | Ethicon Llc | RF tissue sealer, shear grip, trigger lock mechanism and energy activation |
US11540871B2 (en) | 2014-12-23 | 2023-01-03 | Applied Medical Resources Corporation | Bipolar electrosurgical sealer and divider |
US10420603B2 (en) | 2014-12-23 | 2019-09-24 | Applied Medical Resources Corporation | Bipolar electrosurgical sealer and divider |
US12029472B2 (en) | 2014-12-23 | 2024-07-09 | Applied Medical Resources Corporation | Bipolar electrosurgical sealer and divider |
USD748259S1 (en) | 2014-12-29 | 2016-01-26 | Applied Medical Resources Corporation | Electrosurgical instrument |
US11311326B2 (en) | 2015-02-06 | 2022-04-26 | Cilag Gmbh International | Electrosurgical instrument with rotation and articulation mechanisms |
US10321950B2 (en) | 2015-03-17 | 2019-06-18 | Ethicon Llc | Managing tissue treatment |
US10342602B2 (en) | 2015-03-17 | 2019-07-09 | Ethicon Llc | Managing tissue treatment |
US10595929B2 (en) | 2015-03-24 | 2020-03-24 | Ethicon Llc | Surgical instruments with firing system overload protection mechanisms |
US10314638B2 (en) | 2015-04-07 | 2019-06-11 | Ethicon Llc | Articulating radio frequency (RF) tissue seal with articulating state sensing |
US10117702B2 (en) | 2015-04-10 | 2018-11-06 | Ethicon Llc | Surgical generator systems and related methods |
US10130410B2 (en) | 2015-04-17 | 2018-11-20 | Ethicon Llc | Electrosurgical instrument including a cutting member decouplable from a cutting member trigger |
US9872725B2 (en) | 2015-04-29 | 2018-01-23 | Ethicon Llc | RF tissue sealer with mode selection |
US10828084B2 (en) | 2015-05-22 | 2020-11-10 | Covidien Lp | Surgical instruments and methods for performing tonsillectomy, adenoidectomy, and other surgical procedures |
US9918780B2 (en) | 2015-05-22 | 2018-03-20 | Covidien Lp | Surgical instruments and methods for performing tonsillectomy, adenoidectomy, and other surgical procedures |
US9795435B2 (en) | 2015-05-22 | 2017-10-24 | Covidien Lp | Surgical instruments and methods for performing tonsillectomy, adenoidectomy, and other surgical procedures |
US11730532B2 (en) | 2015-05-22 | 2023-08-22 | Covidien Lp | Surgical instruments and methods for performing tonsillectomy, adenoidectomy, and other surgical procedures |
US11684407B2 (en) | 2015-05-22 | 2023-06-27 | Covidien Lp | Surgical instruments for grasping and treating tissue |
US9918781B2 (en) | 2015-05-22 | 2018-03-20 | Covidien Lp | Surgical instruments and methods for performing tonsillectomy, adenoidectomy, and other surgical procedures |
US9918779B2 (en) | 2015-05-22 | 2018-03-20 | Covidien Lp | Surgical instruments and methods for performing tonsillectomy, adenoidectomy, and other surgical procedures |
US10624662B2 (en) | 2015-05-22 | 2020-04-21 | Covidien Lp | Surgical instruments and methods for performing tonsillectomy, adenoidectomy, and other surgical procedures |
US11020140B2 (en) | 2015-06-17 | 2021-06-01 | Cilag Gmbh International | Ultrasonic surgical blade for use with ultrasonic surgical instruments |
US10765470B2 (en) | 2015-06-30 | 2020-09-08 | Ethicon Llc | Surgical system with user adaptable techniques employing simultaneous energy modalities based on tissue parameters |
US10357303B2 (en) | 2015-06-30 | 2019-07-23 | Ethicon Llc | Translatable outer tube for sealing using shielded lap chole dissector |
US10898256B2 (en) | 2015-06-30 | 2021-01-26 | Ethicon Llc | Surgical system with user adaptable techniques based on tissue impedance |
US11553954B2 (en) | 2015-06-30 | 2023-01-17 | Cilag Gmbh International | Translatable outer tube for sealing using shielded lap chole dissector |
US11051873B2 (en) | 2015-06-30 | 2021-07-06 | Cilag Gmbh International | Surgical system with user adaptable techniques employing multiple energy modalities based on tissue parameters |
US10952788B2 (en) | 2015-06-30 | 2021-03-23 | Ethicon Llc | Surgical instrument with user adaptable algorithms |
US11903634B2 (en) | 2015-06-30 | 2024-02-20 | Cilag Gmbh International | Surgical instrument with user adaptable techniques |
US11141213B2 (en) | 2015-06-30 | 2021-10-12 | Cilag Gmbh International | Surgical instrument with user adaptable techniques |
US11129669B2 (en) | 2015-06-30 | 2021-09-28 | Cilag Gmbh International | Surgical system with user adaptable techniques based on tissue type |
US10154852B2 (en) | 2015-07-01 | 2018-12-18 | Ethicon Llc | Ultrasonic surgical blade with improved cutting and coagulation features |
US10219818B2 (en) | 2015-07-24 | 2019-03-05 | Covidien Lp | Shaft-based surgical forceps and method of manufacturing the same |
US10987159B2 (en) | 2015-08-26 | 2021-04-27 | Covidien Lp | Electrosurgical end effector assemblies and electrosurgical forceps configured to reduce thermal spread |
US11058475B2 (en) | 2015-09-30 | 2021-07-13 | Cilag Gmbh International | Method and apparatus for selecting operations of a surgical instrument based on user intention |
US10194973B2 (en) | 2015-09-30 | 2019-02-05 | Ethicon Llc | Generator for digitally generating electrical signal waveforms for electrosurgical and ultrasonic surgical instruments |
US11559347B2 (en) | 2015-09-30 | 2023-01-24 | Cilag Gmbh International | Techniques for circuit topologies for combined generator |
US10751108B2 (en) | 2015-09-30 | 2020-08-25 | Ethicon Llc | Protection techniques for generator for digitally generating electrosurgical and ultrasonic electrical signal waveforms |
US10736685B2 (en) | 2015-09-30 | 2020-08-11 | Ethicon Llc | Generator for digitally generating combined electrical signal waveforms for ultrasonic surgical instruments |
US10687884B2 (en) | 2015-09-30 | 2020-06-23 | Ethicon Llc | Circuits for supplying isolated direct current (DC) voltage to surgical instruments |
US10624691B2 (en) | 2015-09-30 | 2020-04-21 | Ethicon Llc | Techniques for operating generator for digitally generating electrical signal waveforms and surgical instruments |
US10610286B2 (en) | 2015-09-30 | 2020-04-07 | Ethicon Llc | Techniques for circuit topologies for combined generator |
US11766287B2 (en) | 2015-09-30 | 2023-09-26 | Cilag Gmbh International | Methods for operating generator for digitally generating electrical signal waveforms and surgical instruments |
US11033322B2 (en) | 2015-09-30 | 2021-06-15 | Ethicon Llc | Circuit topologies for combined generator |
US10959771B2 (en) | 2015-10-16 | 2021-03-30 | Ethicon Llc | Suction and irrigation sealing grasper |
US11666375B2 (en) | 2015-10-16 | 2023-06-06 | Cilag Gmbh International | Electrode wiping surgical device |
US10595930B2 (en) | 2015-10-16 | 2020-03-24 | Ethicon Llc | Electrode wiping surgical device |
US10213250B2 (en) | 2015-11-05 | 2019-02-26 | Covidien Lp | Deployment and safety mechanisms for surgical instruments |
US10179022B2 (en) | 2015-12-30 | 2019-01-15 | Ethicon Llc | Jaw position impedance limiter for electrosurgical instrument |
US10959806B2 (en) | 2015-12-30 | 2021-03-30 | Ethicon Llc | Energized medical device with reusable handle |
US10575892B2 (en) | 2015-12-31 | 2020-03-03 | Ethicon Llc | Adapter for electrical surgical instruments |
US11684402B2 (en) | 2016-01-15 | 2023-06-27 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization |
US11134978B2 (en) | 2016-01-15 | 2021-10-05 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with self-diagnosing control switches for reusable handle assembly |
US11058448B2 (en) | 2016-01-15 | 2021-07-13 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with multistage generator circuits |
US11751929B2 (en) | 2016-01-15 | 2023-09-12 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization |
US10299821B2 (en) | 2016-01-15 | 2019-05-28 | Ethicon Llc | Modular battery powered handheld surgical instrument with motor control limit profile |
US11229450B2 (en) | 2016-01-15 | 2022-01-25 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with motor drive |
US10779849B2 (en) | 2016-01-15 | 2020-09-22 | Ethicon Llc | Modular battery powered handheld surgical instrument with voltage sag resistant battery pack |
US11974772B2 (en) | 2016-01-15 | 2024-05-07 | Cilag GmbH Intemational | Modular battery powered handheld surgical instrument with variable motor control limits |
US11896280B2 (en) | 2016-01-15 | 2024-02-13 | Cilag Gmbh International | Clamp arm comprising a circuit |
US10251664B2 (en) | 2016-01-15 | 2019-04-09 | Ethicon Llc | Modular battery powered handheld surgical instrument with multi-function motor via shifting gear assembly |
US10537351B2 (en) | 2016-01-15 | 2020-01-21 | Ethicon Llc | Modular battery powered handheld surgical instrument with variable motor control limits |
US10828058B2 (en) | 2016-01-15 | 2020-11-10 | Ethicon Llc | Modular battery powered handheld surgical instrument with motor control limits based on tissue characterization |
US11051840B2 (en) | 2016-01-15 | 2021-07-06 | Ethicon Llc | Modular battery powered handheld surgical instrument with reusable asymmetric handle housing |
US10709469B2 (en) | 2016-01-15 | 2020-07-14 | Ethicon Llc | Modular battery powered handheld surgical instrument with energy conservation techniques |
US10842523B2 (en) | 2016-01-15 | 2020-11-24 | Ethicon Llc | Modular battery powered handheld surgical instrument and methods therefor |
US10716615B2 (en) | 2016-01-15 | 2020-07-21 | Ethicon Llc | Modular battery powered handheld surgical instrument with curved end effectors having asymmetric engagement between jaw and blade |
US11229471B2 (en) | 2016-01-15 | 2022-01-25 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization |
US11129670B2 (en) | 2016-01-15 | 2021-09-28 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization |
US11202670B2 (en) | 2016-02-22 | 2021-12-21 | Cilag Gmbh International | Method of manufacturing a flexible circuit electrode for electrosurgical instrument |
US10555769B2 (en) | 2016-02-22 | 2020-02-11 | Ethicon Llc | Flexible circuits for electrosurgical instrument |
US10932844B2 (en) | 2016-02-24 | 2021-03-02 | Covidien Lp | Methods of manufacturing jaw members of surgical forceps |
US10098689B2 (en) | 2016-02-24 | 2018-10-16 | Covidien Lp | Methods of manufacturing jaw members of surgical forceps |
US10765471B2 (en) | 2016-04-15 | 2020-09-08 | Bolder Surgical, Llc | Electrosurgical sealer and divider |
US10856934B2 (en) | 2016-04-29 | 2020-12-08 | Ethicon Llc | Electrosurgical instrument with electrically conductive gap setting and tissue engaging members |
US10987156B2 (en) | 2016-04-29 | 2021-04-27 | Ethicon Llc | Electrosurgical instrument with electrically conductive gap setting member and electrically insulative tissue engaging members |
US10702329B2 (en) | 2016-04-29 | 2020-07-07 | Ethicon Llc | Jaw structure with distal post for electrosurgical instruments |
US10646269B2 (en) | 2016-04-29 | 2020-05-12 | Ethicon Llc | Non-linear jaw gap for electrosurgical instruments |
US10485607B2 (en) | 2016-04-29 | 2019-11-26 | Ethicon Llc | Jaw structure with distal closure for electrosurgical instruments |
US11864820B2 (en) | 2016-05-03 | 2024-01-09 | Cilag Gmbh International | Medical device with a bilateral jaw configuration for nerve stimulation |
US10456193B2 (en) | 2016-05-03 | 2019-10-29 | Ethicon Llc | Medical device with a bilateral jaw configuration for nerve stimulation |
US11883055B2 (en) | 2016-07-12 | 2024-01-30 | Cilag Gmbh International | Ultrasonic surgical instrument with piezoelectric central lumen transducer |
US10245064B2 (en) | 2016-07-12 | 2019-04-02 | Ethicon Llc | Ultrasonic surgical instrument with piezoelectric central lumen transducer |
US10966744B2 (en) | 2016-07-12 | 2021-04-06 | Ethicon Llc | Ultrasonic surgical instrument with piezoelectric central lumen transducer |
US10893883B2 (en) | 2016-07-13 | 2021-01-19 | Ethicon Llc | Ultrasonic assembly for use with ultrasonic surgical instruments |
US10842522B2 (en) | 2016-07-15 | 2020-11-24 | Ethicon Llc | Ultrasonic surgical instruments having offset blades |
US10376305B2 (en) | 2016-08-05 | 2019-08-13 | Ethicon Llc | Methods and systems for advanced harmonic energy |
US11344362B2 (en) | 2016-08-05 | 2022-05-31 | Cilag Gmbh International | Methods and systems for advanced harmonic energy |
US10285723B2 (en) | 2016-08-09 | 2019-05-14 | Ethicon Llc | Ultrasonic surgical blade with improved heel portion |
USD924400S1 (en) | 2016-08-16 | 2021-07-06 | Cilag Gmbh International | Surgical instrument |
USD847990S1 (en) | 2016-08-16 | 2019-05-07 | Ethicon Llc | Surgical instrument |
US10420580B2 (en) | 2016-08-25 | 2019-09-24 | Ethicon Llc | Ultrasonic transducer for surgical instrument |
US10952759B2 (en) | 2016-08-25 | 2021-03-23 | Ethicon Llc | Tissue loading of a surgical instrument |
US10779847B2 (en) | 2016-08-25 | 2020-09-22 | Ethicon Llc | Ultrasonic transducer to waveguide joining |
US11925378B2 (en) | 2016-08-25 | 2024-03-12 | Cilag Gmbh International | Ultrasonic transducer for surgical instrument |
US11350959B2 (en) | 2016-08-25 | 2022-06-07 | Cilag Gmbh International | Ultrasonic transducer techniques for ultrasonic surgical instrument |
US11839422B2 (en) | 2016-09-23 | 2023-12-12 | Cilag Gmbh International | Electrosurgical instrument with fluid diverter |
US10751117B2 (en) | 2016-09-23 | 2020-08-25 | Ethicon Llc | Electrosurgical instrument with fluid diverter |
US11272947B2 (en) | 2016-11-17 | 2022-03-15 | Covidien Lp | Surgical instruments for performing tonsillectomy, adenoidectomy, and other surgical procedures |
US11007003B2 (en) | 2016-11-17 | 2021-05-18 | Covidien Lp | Surgical instruments and methods of manufacturing surgical instruments for performing tonsillectomy, adenoidectomy, and other surgical procedures |
US10603064B2 (en) | 2016-11-28 | 2020-03-31 | Ethicon Llc | Ultrasonic transducer |
US11266430B2 (en) | 2016-11-29 | 2022-03-08 | Cilag Gmbh International | End effector control and calibration |
US11998230B2 (en) | 2016-11-29 | 2024-06-04 | Cilag Gmbh International | End effector control and calibration |
US10639093B2 (en) | 2016-12-01 | 2020-05-05 | Covidien Lp | Surgical instrument including a wire guide |
US11033325B2 (en) | 2017-02-16 | 2021-06-15 | Cilag Gmbh International | Electrosurgical instrument with telescoping suction port and debris cleaner |
US10492852B2 (en) | 2017-02-27 | 2019-12-03 | Covidien Lp | Wire guide for surgical instruments and surgical instruments including a wire guide |
US12023087B2 (en) | 2017-03-15 | 2024-07-02 | Cilag Gmbh International | Electrosurgical instrument with textured jaws |
US10799284B2 (en) | 2017-03-15 | 2020-10-13 | Ethicon Llc | Electrosurgical instrument with textured jaws |
US11497546B2 (en) | 2017-03-31 | 2022-11-15 | Cilag Gmbh International | Area ratios of patterned coatings on RF electrodes to reduce sticking |
US11166759B2 (en) | 2017-05-16 | 2021-11-09 | Covidien Lp | Surgical forceps |
US10603117B2 (en) | 2017-06-28 | 2020-03-31 | Ethicon Llc | Articulation state detection mechanisms |
US10820920B2 (en) | 2017-07-05 | 2020-11-03 | Ethicon Llc | Reusable ultrasonic medical devices and methods of their use |
US11484358B2 (en) | 2017-09-29 | 2022-11-01 | Cilag Gmbh International | Flexible electrosurgical instrument |
US11490951B2 (en) | 2017-09-29 | 2022-11-08 | Cilag Gmbh International | Saline contact with electrodes |
US11033323B2 (en) | 2017-09-29 | 2021-06-15 | Cilag Gmbh International | Systems and methods for managing fluid and suction in electrosurgical systems |
US11179190B2 (en) | 2017-12-12 | 2021-11-23 | Gyrus Acmi, Inc. | Laparoscopic forceps assembly with an operable mechanism |
US11123133B2 (en) | 2018-04-24 | 2021-09-21 | Covidien Lp | Method of reprocessing a surgical instrument |
US12048477B2 (en) | 2018-04-24 | 2024-07-30 | Covidien Lp | Method of reprocessing a surgical instrument |
US11642164B2 (en) | 2018-04-24 | 2023-05-09 | Covidien Lp | Method of reprocessing a surgical instrument |
US11864812B2 (en) | 2018-09-05 | 2024-01-09 | Applied Medical Resources Corporation | Electrosurgical generator control system |
US11696796B2 (en) | 2018-11-16 | 2023-07-11 | Applied Medical Resources Corporation | Electrosurgical system |
US11026710B2 (en) | 2019-01-10 | 2021-06-08 | Covidien Lp | Surgical instruments and methods of manufacturing surgical instruments for performing tonsillectomy, adenoidectomy, and other surgical procedures |
US11350957B2 (en) | 2019-03-27 | 2022-06-07 | Gyms Acmi, Inc. | Laparoscopic forceps assembly for gripping and dissection |
US11241269B2 (en) | 2019-04-04 | 2022-02-08 | Cilag Gmbh International | Surgical devices switchable between monopolar functionality and bipolar functionality |
US11471212B2 (en) | 2019-04-04 | 2022-10-18 | Cilag Gmbh International | Electrosurgical devices with monopolar and bipolar functionality |
US11259864B2 (en) | 2019-06-06 | 2022-03-01 | Covidien Lp | Surgical instrument with enhanced trigger |
US11612445B2 (en) | 2019-06-27 | 2023-03-28 | Cilag Gmbh International | Cooperative operation of robotic arms |
US12059224B2 (en) | 2019-06-27 | 2024-08-13 | Cilag Gmbh International | Robotic surgical system with safety and cooperative sensing control |
US11607278B2 (en) | 2019-06-27 | 2023-03-21 | Cilag Gmbh International | Cooperative robotic surgical systems |
US11723729B2 (en) | 2019-06-27 | 2023-08-15 | Cilag Gmbh International | Robotic surgical assembly coupling safety mechanisms |
US11413102B2 (en) | 2019-06-27 | 2022-08-16 | Cilag Gmbh International | Multi-access port for surgical robotic systems |
US11547468B2 (en) | 2019-06-27 | 2023-01-10 | Cilag Gmbh International | Robotic surgical system with safety and cooperative sensing control |
US11986201B2 (en) | 2019-12-30 | 2024-05-21 | Cilag Gmbh International | Method for operating a surgical instrument |
US11744636B2 (en) | 2019-12-30 | 2023-09-05 | Cilag Gmbh International | Electrosurgical systems with integrated and external power sources |
US11786294B2 (en) | 2019-12-30 | 2023-10-17 | Cilag Gmbh International | Control program for modular combination energy device |
US11911063B2 (en) | 2019-12-30 | 2024-02-27 | Cilag Gmbh International | Techniques for detecting ultrasonic blade to electrode contact and reducing power to ultrasonic blade |
US11779387B2 (en) | 2019-12-30 | 2023-10-10 | Cilag Gmbh International | Clamp arm jaw to minimize tissue sticking and improve tissue control |
US12082808B2 (en) | 2019-12-30 | 2024-09-10 | Cilag Gmbh International | Surgical instrument comprising a control system responsive to software configurations |
US11937863B2 (en) | 2019-12-30 | 2024-03-26 | Cilag Gmbh International | Deflectable electrode with variable compression bias along the length of the deflectable electrode |
US11937866B2 (en) | 2019-12-30 | 2024-03-26 | Cilag Gmbh International | Method for an electrosurgical procedure |
US11944366B2 (en) | 2019-12-30 | 2024-04-02 | Cilag Gmbh International | Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode |
US11950797B2 (en) | 2019-12-30 | 2024-04-09 | Cilag Gmbh International | Deflectable electrode with higher distal bias relative to proximal bias |
US11696776B2 (en) | 2019-12-30 | 2023-07-11 | Cilag Gmbh International | Articulatable surgical instrument |
US11779329B2 (en) | 2019-12-30 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a flex circuit including a sensor system |
US12076006B2 (en) | 2019-12-30 | 2024-09-03 | Cilag Gmbh International | Surgical instrument comprising an orientation detection system |
US11974801B2 (en) | 2019-12-30 | 2024-05-07 | Cilag Gmbh International | Electrosurgical instrument with flexible wiring assemblies |
US11786291B2 (en) | 2019-12-30 | 2023-10-17 | Cilag Gmbh International | Deflectable support of RF energy electrode with respect to opposing ultrasonic blade |
US11986234B2 (en) | 2019-12-30 | 2024-05-21 | Cilag Gmbh International | Surgical system communication pathways |
US11759251B2 (en) | 2019-12-30 | 2023-09-19 | Cilag Gmbh International | Control program adaptation based on device status and user input |
US11589916B2 (en) | 2019-12-30 | 2023-02-28 | Cilag Gmbh International | Electrosurgical instruments with electrodes having variable energy densities |
US11812957B2 (en) | 2019-12-30 | 2023-11-14 | Cilag Gmbh International | Surgical instrument comprising a signal interference resolution system |
US12064109B2 (en) | 2019-12-30 | 2024-08-20 | Cilag Gmbh International | Surgical instrument comprising a feedback control circuit |
US12023086B2 (en) | 2019-12-30 | 2024-07-02 | Cilag Gmbh International | Electrosurgical instrument for delivering blended energy modalities to tissue |
US11660089B2 (en) | 2019-12-30 | 2023-05-30 | Cilag Gmbh International | Surgical instrument comprising a sensing system |
US11723716B2 (en) | 2019-12-30 | 2023-08-15 | Cilag Gmbh International | Electrosurgical instrument with variable control mechanisms |
US11684412B2 (en) | 2019-12-30 | 2023-06-27 | Cilag Gmbh International | Surgical instrument with rotatable and articulatable surgical end effector |
US12053224B2 (en) | 2019-12-30 | 2024-08-06 | Cilag Gmbh International | Variation in electrode parameters and deflectable electrode to modify energy density and tissue interaction |
US11452525B2 (en) | 2019-12-30 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising an adjustment system |
US11707318B2 (en) | 2019-12-30 | 2023-07-25 | Cilag Gmbh International | Surgical instrument with jaw alignment features |
US12053230B2 (en) | 2020-01-07 | 2024-08-06 | Covidien Lp | Surgical forceps having jaw members |
US11877790B2 (en) | 2020-01-07 | 2024-01-23 | Covidien Lp | Surgical forceps having jaw members |
US12114912B2 (en) | 2020-05-29 | 2024-10-15 | Cilag Gmbh International | Non-biased deflectable electrode to minimize contact between ultrasonic blade and electrode |
US11974829B2 (en) | 2021-06-30 | 2024-05-07 | Cilag Gmbh International | Link-driven articulation device for a surgical device |
US11931026B2 (en) | 2021-06-30 | 2024-03-19 | Cilag Gmbh International | Staple cartridge replacement |
US11957342B2 (en) | 2021-11-01 | 2024-04-16 | Cilag Gmbh International | Devices, systems, and methods for detecting tissue and foreign objects during a surgical operation |
US12114913B2 (en) | 2022-05-03 | 2024-10-15 | Covidien Lp | Surgical instrument with resilient driving member and related methods of use |
US12114914B2 (en) | 2022-05-23 | 2024-10-15 | Cilag Gmbh International | Methods and systems for advanced harmonic energy |
Also Published As
Publication number | Publication date |
---|---|
US20040082952A1 (en) | 2004-04-29 |
US20040249371A1 (en) | 2004-12-09 |
US7101372B2 (en) | 2006-09-05 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US7384420B2 (en) | Vessel sealer and divider | |
US7118587B2 (en) | Vessel sealer and divider | |
US7101373B2 (en) | Vessel sealer and divider | |
US10568682B2 (en) | Vessel sealer and divider | |
EP2263586B1 (en) | Vessel sealer and divider | |
CA2440309C (en) | Vessel sealer and divider | |
CA2442677C (en) | Vessel sealer and divider | |
US7090673B2 (en) | Vessel sealer and divider | |
US7083618B2 (en) | Vessel sealer and divider | |
US10835309B1 (en) | Vessel sealer and divider | |
AU2001256990A1 (en) | Vessel sealer and divider | |
AU2001249910A1 (en) | Vessel sealer and divider | |
AU2001253202A1 (en) | Vessel sealer and divider |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
STCF | Information on status: patent grant |
Free format text: PATENTED CASE |
|
AS | Assignment |
Owner name: SHERWOOD SERVICES AG, SWITZERLAND Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:DYCUS, SEAN T.;BROWN, DAX D.;FARASCIONI, DAVID;AND OTHERS;REEL/FRAME:023828/0585;SIGNING DATES FROM 20010604 TO 20010613 |
|
AS | Assignment |
Owner name: COVIDIEN AG, SWITZERLAND Free format text: CHANGE OF NAME;ASSIGNOR:TYCO HEALTHCARE GROUP AG;REEL/FRAME:025017/0663 Effective date: 20081215 Owner name: TYCO HEALTHCARE GROUP AG, SWITZERLAND Free format text: MERGER;ASSIGNOR:COVIDIEN AG;REEL/FRAME:025017/0670 Effective date: 20081215 Owner name: COVIDIEN AG, SWITZERLAND Free format text: CHANGE OF NAME;ASSIGNOR:SHERWOOD SERVICES AG;REEL/FRAME:025017/0657 Effective date: 20070309 |
|
FPAY | Fee payment |
Year of fee payment: 4 |
|
FPAY | Fee payment |
Year of fee payment: 8 |
|
FEPP | Fee payment procedure |
Free format text: MAINTENANCE FEE REMINDER MAILED (ORIGINAL EVENT CODE: REM.); ENTITY STATUS OF PATENT OWNER: LARGE ENTITY |
|
LAPS | Lapse for failure to pay maintenance fees |
Free format text: PATENT EXPIRED FOR FAILURE TO PAY MAINTENANCE FEES (ORIGINAL EVENT CODE: EXP.); ENTITY STATUS OF PATENT OWNER: LARGE ENTITY |
|
STCH | Information on status: patent discontinuation |
Free format text: PATENT EXPIRED DUE TO NONPAYMENT OF MAINTENANCE FEES UNDER 37 CFR 1.362 |
|
FP | Lapsed due to failure to pay maintenance fee |
Effective date: 20200610 |